GWENDOLYN D DEWALT RN, LBSW
NPI 1568611846
Registered Nurse in Detroit, MI

Q: What is Gwendolyn Dewalt's NPI number?

The NPI number for Gwendolyn Dewalt is 1568611846. It was assigned to this individual provider in the NPPES registry on September 11, 2008.

Q: What is Gwendolyn Dewalt's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Q: When was this NPI record last updated?

The NPPES record for Gwendolyn Dewalt was last updated on September 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 11, 2008

2761 E JEFFERSON AVE, DETROIT, MI 48207(313) 993-3964(313) 993-1372 Get Directions Write a Review

NPPES record last updated: September 11, 2008. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Gwendolyn D Dewalt Rn, Lbsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GWENDOLYN D DEWALT RN, LBSW (NPI 1568611846) is an individual registered nurse in Detroit, Michigan, licensed in Michigan (4704157517) and active in the NPI registry since September 2008.

NPPES Registry Identity

NPI1568611846

Entity TypeIndividualFemale

Primary Taxonomy163W00000X

Provider Legal NameGWENDOLYN D DEWALTCredential: RN, LBSW

Location Address2761 E JEFFERSON AVEDetroit, MI 48207-4105

Mailing Address2761 E Jefferson AveDetroit, MI 48207-4105 · (313) 993-3964 · Fax (313) 993-1372

Phone(313) 993-3964

Fax(313) 993-1372

Sole ProprietorNo

Enumeration DateSeptember 11, 2008

✔ NPI 1568611846 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRegistered NurseNursing Service Providers

Taxonomy Code163W00000X

License✔ Licensed in MI · 4704157517

Definition

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Also ListedSocial WorkerTaxonomy 104100000X · License 6802059768 (MI)

2761 E JEFFERSON AVE, Detroit, MI 48207

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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BOJANA KNEZEVIC MA

Student in an Organized Health Care Education/Training Program

2761 E JEFFERSON AVE
DETROIT, MI 48207

Wayne County (313) 993-3964

ANTHONY J LEWIS LMSW

Social Worker

2761 E JEFFERSON AVE
DETROIT, MI 48207

Wayne County (313) 993-3964

EMILY SCARLETT ORR MA

Student in an Organized Health Care Education/Training Program

2761 E JEFFERSON AVE
DETROIT, MI 48207

Wayne County (313) 993-3964

JAMES DANIEL BAUER LLPC

Counselor (Professional)

2761 E JEFFERSON AVE
DETROIT, MI 48207

Wayne County (313) 993-3964

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gwendolyn Dewalt's NPI number?

The NPI number for Gwendolyn Dewalt is 1568611846. It was assigned to this individual provider in the NPPES registry on September 11, 2008.

Where is Gwendolyn Dewalt located?

Gwendolyn Dewalt practices at 2761 E Jefferson Ave, Detroit, MI 48207. The listed phone number is (313) 993-3964.

What is Gwendolyn Dewalt's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

When was this NPI record last updated?

The NPPES record for Gwendolyn Dewalt was last updated on September 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.