Gwen Lawler, LISW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

3925 Issued in MN

Practice address

1807 West Highway 61
Grand Marais, MN 55604

Phone

(218) 387-9444

NPI assigned

Jan 20, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Brightwater Health Dba Human Development Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Duluth, MN
  • NPI 1194790733
  NPD (past)
• Brightwater Health Dba Human Development Center

  • Community/Behavioral Health Agency
  • Grand Marais, MN
  • NPI 1205957610
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1232409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232409600000",
    "number": "1679710289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 E 1ST ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558052407",
            "telephone_number": "218-728-4491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1807 WEST HIGHWAY 61",
            "city": "GRAND MARAIS",
            "state": "MN",
            "postal_code": "55604",
            "telephone_number": "218-387-9444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWLER",
        "first_name": "GWEN",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-20",
        "last_updated": "2009-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MN",
            "license": "3925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexys J Hillman, DO
• Alexandra Marie Klofstad, LAT, ATC
• Jill Kort, PHARMD
• Julie Louise Koski, RN
• Ganna Krevechenko, PHARMD
• Rolf E Lindquist, DDS
• Jill Elizabeth Linse, MD
• Brittny Marie Malec, CLD
• Corey Todd Malstrom, PHARMD
• Maggie McGowan-Stinski

• Social Worker in Grand Marais, MN
• Providers in Grand Marais, MN by specialty
• Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.