Gerald Walter Dwyer, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R054922 Issued in NY

Practice address

4062 Amboy Rd
Staten Island, NY 10308-2409

Phone

(718) 984-0854

Fax

(718) 984-0854

NPI assigned

Mar 25, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Clinical Social Worker

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Christa Durkin, LCSW, P.C.

  • Clinical Social Worker
  • Staten Island, NY
  • NPI 1578000659
  NPD (past)
• Jewish Board for Family and Children Services

  • Community/Behavioral Health Agency
  • Brooklyn, NY
  • NPI 1366685430
  NPD (past)
• Jewish Board of Family and Children'S Services, Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Brooklyn, NY
  • NPI 1760173579

  Clinical

  NPD (past)
• Linnar Ortalan, LCSW, PC

  • Clinical Social Worker
  • Staten Island, NY
  • NPI 1215255625
  NPD (past)

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

{
    "created_epoch": "1174780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124145958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 GRANDVIEW TER",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103082812",
            "telephone_number": "718-984-0854",
            "fax_number": "718-984-0854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4062 AMBOY RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103082409",
            "telephone_number": "718-984-0854",
            "fax_number": "718-984-0854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DWYER",
        "first_name": "GERALD",
        "middle_name": "WALTER",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R054922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMPSYCH CORPORATION",
            "identifier": "198504",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0211582",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLAN",
            "identifier": "P2533945",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLUS",
            "identifier": "000100400301",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE SERVICE",
            "identifier": "62-27456",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1199EIU NATIONAL BENEFIT",
            "identifier": "132568",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Srinivas Duvvuri, MD
• Luba Dvirts, LCSW
• Virginia Sophia Dweck, PHYSICIAN ASSISTANT
• Aviva Gold Dworkin
• Karen Ann Dwyer-Tesoriero, LCSW
• Lori Patricia Dwyer
• Nicola Angelee Dyce, CASAC
• Julia Dyo, NP-C
• Jessica Lynn Dysart
• Britney Dyszel, DO

• Clinical Social Worker in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Clinical Social Worker in New York

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.