Active NPI
Lawrence Dyche, LCSW
- Clinical Social Worker
- Glen Cove, NY
National Provider Identifier
1093931404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- PR008398-1
- Practice address
- 7 Westgate CT
Glen Cove, NY 11542-2207 - Phone
- (718) 920-6788
- Fax
- (718) 515-5416
- NPI assigned
- Apr 17, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | PR008398-1 | NY | Primary |
Addresses
Primary practice location
7 Westgate CT
Glen Cove, NY 11542-2207
Mailing address
7 Westgate CT
Glen Cove, NY 11542-2207
Phone (718) 920-6788
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PR008398-1 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1093931404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 WESTGATE CT",
"city": "GLEN COVE",
"state": "NY",
"postal_code": "115422207",
"telephone_number": "718-920-6788",
"fax_number": "718-515-5416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 WESTGATE CT",
"city": "GLEN COVE",
"state": "NY",
"postal_code": "115422207",
"telephone_number": "718-920-6788",
"fax_number": "718-515-5416"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DYCHE",
"first_name": "LAWRENCE",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "PR008398-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glen Cove, NY
- Dr Gary Galante O D P C
- Carrie Diane Dulaski, OTR/L
- George Francis Dunn, MD
- Elizabeth Dias Dunst, FNP-C
- Adrienne N. Durante, COTA/L
- Dynamic Physical Therapy & Rehab Services P.C
- Eastern Audiology Resources, LTD., PC
- Eating Disorder Treatment of New York, LLC (Monte Nido Glen Cove)
- Edge Physical Therapy PC
- Edward Hill MD PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.