Individual provider Active NPI

Nicholas P Dyer, LCSW

  • Clinical Social Worker
  • Windham, ME
National Provider Identifier
1285012013
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC17231 Issued in ME
Practice address
86 Tandberg TRL
Windham, ME 04062-5841
Phone
(207) 893-0386
NPI assigned
May 13, 2015
Last updated
May 21, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2025

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 LC17231 ME Primary

Addresses

Primary practice location

86 Tandberg TRL
Windham, ME 04062-5841

Mailing address

86 Tandberg TRL
Windham, ME 04062-5841
Phone (207) 893-0386

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
I20230607000699 ME Practitioner - Clinical Social Worker 0244697241 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Day OneGroup PAC ID 9032249644, 6 clinicians

Practice addresses (Care Compare)

86 Tandberg TRL
Windham, ME 04062-5841
Phone (207) 893-0386

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Day One Clinical CurrentSince Feb 2, 2023 Accepting new patients

Locations

15 York St
Unit 201
Biddeford, ME 04005
Phone (207) 283-0587

Organizations & group practices 1

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": "1431475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1285012013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 TANDBERG TRL",
            "city": "WINDHAM",
            "state": "ME",
            "postal_code": "040625841",
            "telephone_number": "207-893-0386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 TANDBERG TRL",
            "city": "WINDHAM",
            "state": "ME",
            "postal_code": "040625841",
            "telephone_number": "207-893-0386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYER",
        "first_name": "NICHOLAS",
        "middle_name": "P",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-13",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC17231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windham, ME

Sources for this page

Verify at the official NPI Registry.