TAMMY GWIAZDA PRS - NPI 1629632963 - Peer Specialist in Cleveland, OH

Q: What is Tammy Gwiazda's NPI number?

The NPI number for Tammy Gwiazda is 1629632963. It was assigned to this individual provider in the NPPES registry on April 23, 2019.

Q: What is Tammy Gwiazda's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

Q: When was this NPI record last updated?

The NPPES record for Tammy Gwiazda was last updated on April 23, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Tammy Gwiazda Prs NPPES

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

TAMMY GWIAZDA PRS (NPI 1629632963) is an individual peer specialist in Cleveland, Ohio and active in the NPI registry since April 2019.

NPPES Registry Identity

NPI1629632963

Entity TypeIndividualFemale

Primary Taxonomy175T00000X

Provider Legal NameTAMMY GWIAZDACredential: PRS

Location Address3500 CARNEGIE AVECleveland, OH 44115-2641

Mailing Address434 Eastland RdBerea, OH 44017-1217 · (440) 234-2006

Phone(440) 260-8300

Sole ProprietorYes

Enumeration DateApril 23, 2019

✔ NPI 1629632963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers

Taxonomy Code175T00000X

Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

3500 CARNEGIE AVE, Cleveland, OH 44115

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Other Providers at the Same Location NPPES 20

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

KIM M JACKSON LISW

Social Worker (Clinical)