Brian M Gwozdz, LADC 1
Counselor, Addiction (Substance Use Disorder) in Peabody, Massachusetts
1417553454- Practice location
- 13 Lakeshore RD, Peabody, MA 01960-6514
- Phone
- 413-519-4237
- Fax
- 855-260-8265
- Last updated
- December 7, 2020
Brian Martin Gwozdz is a Counselor, Addiction (Substance Use Disorder) based in Peabody, MA. Brian Martin Gwozdz practices in Peabody, MA and has the professional credentials of LADC 1. The NPI Number for Brian Martin Gwozdz is 1417553454 and holds a License No. 1535 (MA). The current practice location address for Brian Martin Gwozdz is 13 Lakeshore RD, Peabody, MA 01960-6514 and can be reached out via phone at 413-519-4237 and via fax at 855-260-8265.
Provider Profile Details
- NPI Number
- 1417553454
- Provider Name
- Brian Martin Gwozdz
- Credential
- LADC 1
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 13 Lakeshore RD, Peabody, MA 01960-6514
- Phone Number
- 413-519-4237
- Fax Number
- 855-260-8265
- Primary Taxonomy
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- December 7, 2020
- Last Update Date
- December 7, 2020
- Certification Date
- December 7, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 13 Lakeshore RD
Peabody, MA 01960-6514 - City
- Peabody
- State
- Massachusetts
- Zip
- 01960-6514
- Phone Number
- 413-519-4237
- Fax Number
- 855-260-8265
Provider Business Mailing Address Details
- Address
- 13 Lakeshore RD
Peabody, MA 01960-6514 - City
- Peabody
- State
- MA
- Zip
- 01960-6514
- Phone Number
- 413-519-4237
- Fax Number
- 855-260-8265
License Information
- License Number
- 1535
- License State
- MA
- Taxonomy
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Brian M Gwozdz, LADC 1?
The NPI number of Brian M Gwozdz, LADC 1 is 1417553454. It was assigned on December 7, 2020 and is currently active in the NPPES registry.
What is the specialty of Brian M Gwozdz, LADC 1?
Brian M Gwozdz, LADC 1 is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in MA under license number 1535.
Where does Brian M Gwozdz, LADC 1 practice?
The practice location is 13 Lakeshore RD, Peabody, MA 01960-6514. The office can be reached at 413-519-4237 (phone) or 855-260-8265 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1417553454 directly on the NPPES registry website.