| Dakota Gwiszcz, LCSW | |
|
317 Hovis Rd, Stanley, NC 28164-1413 | |
| (704) 836-9600 | |
| (704) 931-4592 |
| Full Name | Dakota Gwiszcz |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 317 Hovis Rd, Stanley, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215624176 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C015715 (North Carolina) | Primary |
| 1041C0700X | Social Worker - Clinical | 67434 (Texas) | Secondary |
| Entity Name | Gaston Family Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215932215 PECOS PAC ID: 5496733925 Enrollment ID: O20040712000470 |
| Mailing Address | Practice Location Address |
|---|---|
| Dakota Gwiszcz, LCSW 200 E 2nd Ave, Gastonia, NC 28052-4358 Ph: (704) 874-1907 | Dakota Gwiszcz, LCSW 317 Hovis Rd, Stanley, NC 28164-1413 Ph: (704) 836-9600 |
India Monet Springfield, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 900 S Main St, Stanley, NC 28164 Phone: 704-836-9106 | |
Deanna Bizzaro, LCSW-A Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 185 Mariposa Rd, Stanley, NC 28164 Phone: 704-931-4418 | |
Mrs. Jessica Elizabeth Maguire, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7834 Nc 73 Hwy, Stanley, NC 28164 Phone: 704-207-3511 Fax: 704-207-3511 |