Individual provider Active NPI

Paula B. Cyr, LCSW & CADC

  • Clinical Social Worker
  • Houlton, ME
National Provider Identifier
1033237672
Registry record updated Mar 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC13116 Issued in ME
Practice address
2 High St
Houlton, ME 04730-2013
Phone
(207) 532-1058
Fax
(207) 532-5507
NPI assigned
Mar 26, 2007
Last updated
Mar 13, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CAC3499 ME
Clinical Social Worker 1041C0700X LC13116 ME Primary

Addresses

Primary practice location

2 High St
Houlton, ME 04730-2013

Mailing address

2 High St
Houlton, ME 04730-2013
Phone (207) 532-1058

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150106001479 ME Practitioner - Clinical Social Worker 6103149737 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Root and Rise Psychotherapy, LLCGroup PAC ID 8820407729, 3 clinicians

Practice addresses (Care Compare)

7 Prospect St
Caribou, ME 04736-2466
Phone (207) 492-1000

9 May St
Suite 3
Bangor, ME 04401-6416
Phone (207) 307-7704

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CAC3499MEMDAddiction (Substance Use Disorder) Counselor
LC13116MEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Hearts LLC CurrentSince Jan 2, 2018 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363132800000",
    "number": "1033237672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 HIGH ST",
            "city": "HOULTON",
            "state": "ME",
            "postal_code": "047302013",
            "telephone_number": "207-532-1058",
            "fax_number": "207-532-5507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 HIGH ST",
            "city": "HOULTON",
            "state": "ME",
            "postal_code": "047302013",
            "telephone_number": "207-532-1058",
            "fax_number": "207-532-5507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CYR",
        "first_name": "PAULA",
        "middle_name": "B.",
        "credential": "LCSW & CADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2013-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ME",
            "license": "CAC3499",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC13116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houlton, ME

Sources for this page

Verify at the official NPI Registry.