Gerald Stephen Kyer, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

DP00939072 Issued in WV

Practice address

721 Beville Rd
South Daytona, FL 32119-1823

Phone

(386) 788-1821

Fax

(386) 788-6822

NPI assigned

Jul 22, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396766481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5484 WARD LAKE DR",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321287471",
            "telephone_number": "386-761-2195",
            "fax_number": "386-788-6822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 BEVILLE RD",
            "city": "SOUTH DAYTONA",
            "state": "FL",
            "postal_code": "321191823",
            "telephone_number": "386-788-1821",
            "fax_number": "386-788-6822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KYER",
        "first_name": "GERALD",
        "middle_name": "STEPHEN",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WV",
            "license": "DP00939072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeri-Leigh M. Konicek, M.S., CCC-SLP
• Susan Kowalczyk
• Trent Gregory Kozman, D.C.
• Dennis Andrew Kuack, DDS
• James Kulis, APRN
• L&L Beville Dental LLC (Beville Dental Care)
• Levi Langdale, OT
• Patrick John Larrazabal, MD
• Laura Kay Lavespere
• Pamela Marie Lavigna, M.A.

• Clinical Social Worker in South Daytona, FL
• Providers in South Daytona, FL by specialty
• Clinical Social Worker in Florida

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.