Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gwendolyn D Dewalt, RN, LBSW

Individual provider Registered Nurse · NPI 1568611846

Gwendolyn D Dewalt, RN, LBSW is a Registered Nurse in Detroit, Michigan. Licensed in Michigan. Registered with an NPI since 2008.

Licensed in
MI
In the registry since
2008
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

See every abbreviation used in this directory →

Practice location Address checks out

2761 E Jefferson Ave
Detroit, MI 48207-4105
Phone: (313) 993-3964
Fax: (313) 993-1372
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 4704157517 (MI)
Social Worker Taxonomy 104100000X · Licence 6802059768 (MI)

Record details

NPI number1568611846
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN , LBSW
Sole proprietorNo
NPI enumeratedSeptember 11, 2008
Last updated in NPPESSeptember 11, 2008

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