Alyse B Deselms, is a
Social Worker - Clinical based in Goldsboro, North Carolina. Alyse B Deselms is licensed to practice in North Carolina (license number P104851) and her current practice location is
1706 Wayne Memorial Dr, Goldsboro, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(919) 734-6676.
NPI number for Alyse B Deselms is 1629693981 and her current mailing address is 1706 Wayne Memorial Dr, Goldsboro, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1629693981.
Healthcare Provider's Profile
Full Name | Alyse B Deselms |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 1706 Wayne Memorial Dr, Goldsboro, North Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1629693981
- Provider Enumeration Date: 06/12/2020
- Last Update Date: 07/24/2020
Medical Identifiers
Medical identifiers for Alyse B Deselms such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629693981 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 26603 (North Carolina) | Secondary |
1041C0700X | Social Worker - Clinical | P104851 (North Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Alyse B Deselms is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Alyse B Deselms, 1706 Wayne Memorial Dr, Goldsboro, NC 27534-2240 Ph: (919) 734-6676 | Alyse B Deselms, 1706 Wayne Memorial Dr, Goldsboro, NC 27534-2240 Ph: (919) 734-6676 |
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