Mrs Gwendolyn C Dehorn, LCSW is a
Social Worker - Clinical based in South Bend, Indiana. Mrs Gwendolyn C Dehorn is licensed to practice in Indiana (license number 34003375) and her current practice location is
150 W Angela Blvd, South Bend, Indiana. She can be reached at her office (for appointments etc.) via phone at
(574) 245-3920.
NPI number for Mrs Gwendolyn C Dehorn is 1245237114 and her current mailing address is 150 W Angela Blvd, South Bend, Indiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1245237114.
Healthcare Provider's Profile
Full Name | Mrs Gwendolyn C Dehorn |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 150 W Angela Blvd, South Bend, Indiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1245237114
- Provider Enumeration Date: 07/07/2005
- Last Update Date: 08/27/2013
Medical Identifiers
Medical identifiers for Mrs Gwendolyn C Dehorn such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1245237114 | NPI | - | NPPES |
34003375 | Other | IN | STATE LICENCE NUMBER |
00000018781300 | Other | IN | BLUE CROSS BLUE SHIELD |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 34003375 (Indiana) | Secondary |
1041C0700X | Social Worker - Clinical | 34003375 (Indiana) | 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. Mrs Gwendolyn C Dehorn 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 |
Mrs Gwendolyn C Dehorn, LCSW 150 W Angela Blvd, South Bend, IN 46617-1101 Ph: (574) 245-3920 | Mrs Gwendolyn C Dehorn, LCSW 150 W Angela Blvd, South Bend, IN 46617-1101 Ph: (574) 245-3920 |
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