Individual provider Active NPI

James Cyr, LCSW

  • Clinical Social Worker
  • Caribou, ME
National Provider Identifier
1144558875
Registry record updated May 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC15390 Issued in ME
Practice address
7 Hatch Dr Ste 120
Caribou, ME 04736-2160
Phone
(207) 496-3166
NPI assigned
Nov 18, 2009
Last updated
May 26, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LC15390 ME Primary

Addresses

Primary practice location

7 Hatch Dr Ste 120
Caribou, ME 04736-2160

Mailing address

PO Box 425
Bangor, ME 04402-0425
Phone (800) 924-0366

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
I20170803000080 ME Practitioner - Clinical Social Worker 9335410711 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7 Hatch Dr
Suite 120
Caribou, ME 04736-2160
Phone (207) 496-3166

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health and Counseling Services CurrentSince Dec 31, 2023 Accepting new patients
Aroostook Mental Health Services, Inc. Clinical CurrentSince Sep 21, 2020 Accepting new patients
Community Health and Counseling Services CurrentSince Dec 31, 2023 Accepting new patients

Locations

42 Cedar St
Bangor, ME 04401
Phone (207) 922-4600

43 Hatch Dr
Caribou, ME 04736
Phone (207) 493-3361

43 Hatch Dr
Ste 310
Caribou, ME 04736
Phone (207) 493-3361

7 Hatch Dr
Ste 120
Caribou, ME 04736
Phone (207) 496-3166

180 Academy St
Ste 3
Presque Isle, ME 04769
Phone (207) 554-2352

Organizations & group practices 3

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": "1258502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685059200000",
    "number": "1144558875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 425",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044020425",
            "telephone_number": "800-924-0366",
            "fax_number": "207-990-0399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 HATCH DR STE 120",
            "city": "CARIBOU",
            "state": "ME",
            "postal_code": "047362160",
            "telephone_number": "207-496-3166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CYR",
        "first_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-18",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC15390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caribou, ME

Sources for this page

Verify at the official NPI Registry.