Provider Demographics
NPI:1205316635
Name:GUYER-DEWITT, BASIL (LCSW)
Entity type:Individual
Prefix:
First Name:BASIL
Middle Name:
Last Name:GUYER-DEWITT
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:811 9TH ST STE 120194
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27705-4149
Mailing Address - Country:US
Mailing Address - Phone:802-444-3517
Mailing Address - Fax:
Practice Address - Street 1:811 9TH ST STE 120194
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27705-4149
Practice Address - Country:US
Practice Address - Phone:802-444-3517
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-15
Last Update Date:2025-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1041C0700X
NCC0159561041C0700X
PACW0216651041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical