Ms Penny Dawn Wedin-gorden, LICSW,LAC is a
Social Worker - Clinical based in Bismarck, North Dakota. Ms Penny Dawn Wedin-gorden is licensed to practice in North Dakota (license number 2031) and her current practice location is
1237 W Divide Ave, Ste 5, Bismarck, North Dakota. She can be reached at her office (for appointments etc.) via phone at
(701) 328-8832.
NPI number for Ms Penny Dawn Wedin-gorden is 1093757205 and her current mailing address is 1237 W Divide Ave, Ste 5, Bismarck, North Dakota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1093757205.
Healthcare Provider's Profile
| Full Name | Ms Penny Dawn Wedin-gorden |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 1237 W Divide Ave, Bismarck, North Dakota |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1093757205
- Provider Enumeration Date: 06/12/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Ms Penny Dawn Wedin-gorden such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1093757205 | NPI | - | NPPES |
| N21925 | Other | | RR MEDICARE PIN |
| 021925 | Other | | BCBS OF ND PIN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1526 (North Dakota) | Primary |
| 1041C0700X | Social Worker - Clinical | 2031 (North Dakota) | 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. Ms Penny Dawn Wedin-gorden 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 |
|---|
Ms Penny Dawn Wedin-gorden, LICSW,LAC
1237 W Divide Ave, Ste 5,
Bismarck, ND 58501-1290
Ph: (701) 328-8832 | Ms Penny Dawn Wedin-gorden, LICSW,LAC
1237 W Divide Ave, Ste 5,
Bismarck, ND 58501-1290
Ph: (701) 328-8832 |
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