Individual provider Active NPI

Laura Marie Dyott, LCSW

  • Clinical Social Worker
  • Montgomeryville, PA
National Provider Identifier
1316420318
Registry record updated Dec 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW020253 Issued in PA
Practice address
595 Bethlehem Pike Ste 222
Montgomeryville, PA 18936-9710
Phone
(215) 997-7772
NPI assigned
Sep 14, 2018
Last updated
Dec 8, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2019

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 CW020253 PA Primary

Addresses

Primary practice location

595 Bethlehem Pike Ste 222
Montgomeryville, PA 18936-9710

Mailing address

3855 Blair Mill Rd Apt 223a
Horsham, PA 19044-2924
Phone (609) 439-6543

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20210622003842 PA Practitioner - Clinical Social Worker 6800297284 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling LLC CurrentSince Jun 8, 2021 Accepting new patients
Counseling Center at Heritage, LLC PastSince Dec 15, 2019 Accepting new patients

Locations

5830 Ellsworth Ave
Ste 301
Pittsburgh, PA 15232
Phone (412) 208-6279

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

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": "1536883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575763200000",
    "number": "1316420318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3855 BLAIR MILL RD APT 223A",
            "city": "HORSHAM",
            "state": "PA",
            "postal_code": "190442924",
            "telephone_number": "609-439-6543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 BETHLEHEM PIKE STE 222",
            "city": "MONTGOMERYVILLE",
            "state": "PA",
            "postal_code": "189369710",
            "telephone_number": "215-997-7772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYOTT",
        "first_name": "LAURA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-14",
        "last_updated": "2019-12-08",
        "certification_date": "2019-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW020253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomeryville, PA

Sources for this page

Verify at the official NPI Registry.