Basilia Dawn Gonzalez
Individual provider Active NPI Case Manager/Care Coordinator · West Jefferson, OH
NPI 1811518756 · NPPES record last updated Feb 17, 2023
Key facts
- NPI
- 1811518756
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 51 N West St Apt D
West Jefferson, OH 43162-1289 - Phone
- (614) 517-6508
- NPI assigned
- May 1, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | |||
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
51 N West St Apt D
West Jefferson, OH 43162-1289
Mailing address
51 N West St Apt D
West Jefferson, OH 43162-1289
Phone (614) 517-6508
Other providers in West Jefferson, OH
- Mary Catherine Furgerson
- Scott A Furgerson
- Mark W Garwood
- Betsy Geddis
- Kimberly M Gill
- Valerie Groover
- Jeffrey Thomas Hayes Jr.
- Nathan Hermiller
- Laura Ann Hofmann
- Jefferson Local Schools
All providers in West Jefferson, OH · Case Manager/Care Coordinator in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 17, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.