MEDICARE: CAROLINE HAYES DWYER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program
2	1041C0700X	Clinical Social Worker	138165	CA

General Provider Information

NPI Number	:	1215605340
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAROLINE HAYES DWYER

Provider Business Mailing Address
First Line	:	5160 BAYARD ST APT B
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92109-1170
Country	:	US
Telephone Number	:	203-560-2249
Fax Number	:

Provider Business Practice Location Address
First Line	:	2108 GARNET AVE STE A
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92109-3671
Country	:	US
Telephone Number	:	858-922-9359
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/02/2021
Last Update Date	:	04/29/2026

Similar Medicare Providers

1871160408 — PACIFIC BEACH HEALTH, LLC
Practice Location Address:

2108 GARNET AVE STE A
SAN DIEGO, CA
92109-3671

Practice Phone: 858-717-4322
Practice Fax:

1689551558 — BRIANNA MICHELLE TRIMMER
Practice Location Address:

2108 GARNET AVE STE A
SAN DIEGO, CA
92109-3671

Practice Phone: 858-922-9359
Practice Fax:

1245876101 — KATHERINE BABER NP
Practice Location Address:

3671 FIFTH AVE
SAN DIEGO, CA
92103-4218

Practice Phone: 619-295-2929
Practice Fax:

1962424077 — THRIFTY PAYLESS INC
Practice Location Address:

1500 NORTHGATE MALL
SAN RAFAEL, CA
94903-3671

Practice Phone: 415-492-0888
Practice Fax:

1013237197 — ELIZABETH SUSANNA PRETORIUS
Practice Location Address:

1500 NORTHGATE MALL
SAN RAFAEL, CA
94903-3671

Practice Phone: 415-492-0888
Practice Fax: 415-492-0501

1366763328 — HANK AARON RAGANIT LABARCON RPH
Practice Location Address:

1500 NORTHGATE MALL
SAN RAFAEL, CA
94903-3671

Practice Phone: 415-492-0888
Practice Fax: 415-492-0551

Directions to “ CAROLINE HAYES DWYER ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.