Jody L Cyr, LCSW, LADC,CCS

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC11524 Issued in ME

Practice address

435 W Auburn Rd
Auburn, ME 04210-8506

Phone

(207) 513-8946

NPI assigned

Aug 31, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

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.

• Possibilities Counseling Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Auburn, ME
  • NPI 1235209750
  NPD (past)
• Sweetser

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Saco, ME
  • NPI 1538122445
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649289600000",
    "number": "1346351780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 W AUBURN RD",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "042108506",
            "telephone_number": "207-513-8946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 W AUBURN RD",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "042108506",
            "telephone_number": "207-513-8946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CYR",
        "first_name": "JODY",
        "middle_name": "L",
        "credential": "LCSW, LADC,CCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ME",
            "license": "LC4104",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC11524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Custom Fit Physical Therapy & Wellness
• Custom Hearing
• CVS State Capital LLC
• CVS State Capital LLC
• Christopher Michael Cyr, D.C.
• Michael Kenneth Cyr, D.C.
• Elizabeth Sequoia Dance, LMSW/CC
• Danyka Group LLC
• Jeffrey Neil Davila, M.D.
• Davis PT: a Balanced Approach, LLC

• Clinical Social Worker in Auburn, ME
• Providers in Auburn, ME by specialty
• Clinical Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.