Active NPI
Dakota Gwiszcz, LCSW
- Clinical Social Worker
- Stanley, NC
National Provider Identifier
1215624176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C015715
- Practice address
- 317 Hovis Rd
Stanley, NC 28164-1413 - Phone
- (704) 836-9600
- Fax
- (704) 931-4592
- NPI assigned
- Apr 20, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C015715 | NC | Primary |
| Clinical Social Worker | 1041C0700X | 67434 | TX |
Addresses
Primary practice location
317 Hovis Rd
Stanley, NC 28164-1413
Mailing address
200 E 2ND Ave
Gastonia, NC 28052-4358
Phone (704) 874-1907
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C015715 | NC | MD | Clinical Social Worker |
| 67434 | TX | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gaston Family Health Services, Inc | Current | Accepting new patients | |
| Gaston Family Health Services, Inc. | Current | Accepting new patients | |
| Gaston Family Health Services, Inc. | Current | Accepting new patients |
Locations
991 W Hudson Blvd
Gastonia, NC 28052
Phone (704) 853-5000
200 E 2nd Ave
Gastonia, NC 28052
Phone (704) 874-1904
317 Hovis Rd
Stanley, NC 28164
Phone (704) 836-9600
Interoperability endpoints
- dgwiszcz759427@direct.ochin.org
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Gastonia, NC
- NPI 1215932215
-
- Federally Qualified Health Center (FQHC)
- Gastonia, NC
- NPI 1306644315
-
- Federally Qualified Health Center (FQHC)
- Stanley, NC
- NPI 1427807213
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762819200000",
"number": "1215624176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 E 2ND AVE",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280524358",
"telephone_number": "704-874-1907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "317 HOVIS RD",
"city": "STANLEY",
"state": "NC",
"postal_code": "281641413",
"telephone_number": "704-836-9600",
"fax_number": "704-931-4592"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GWISZCZ",
"first_name": "DAKOTA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-20",
"last_updated": "2025-11-11",
"certification_date": "2025-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C015715",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "67434",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stanley, NC
- Tiffany Michelle Gardner, DNP, APRN, FNP-C
- Gaston Family Health Services, Inc.
- Gaston Family Health Services, Inc.
- Gaston Family Health Services, Inc.
- Gaston Family Health Services, Inc.
- Hamrs Inc
- Sara Elizabeth Hassett, LCMHC
- Nicole Lynne Heasley, OTR/L
- Madison Hoover, DMD
- Frederick Mathew Hornack Jr., OD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.