Marilyn Helen Pells-Cyr, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

089-0000431 Issued in VT

Practice address

18 S Main St
Rutland, VT 05701-4136

Phone

(802) 775-1127

Fax

(802) 773-9668

NPI assigned

Nov 16, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VT

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

Specialty

Clinical Social Worker

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1467525741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 S MAIN ST",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057014136",
            "telephone_number": "802-775-1127",
            "fax_number": "802-773-9668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 S MAIN ST",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057014136",
            "telephone_number": "802-775-1127",
            "fax_number": "802-773-9668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELLS-CYR",
        "first_name": "MARILYN",
        "middle_name": "HELEN",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089-0000431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007124",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marie Therese Pavini, MD
• Danielle Payton, MSW
• Peace Pines LLC
• Pediatric Associates, P.C.
• Courtney Peet, D.C.
• Alexis Erin Pennington, LCMHC
• Alexander Perfitt
• Destinee Perkins
• Heather Perkins, CDE
• James Perry, M.D.

• Clinical Social Worker in Rutland, VT
• Providers in Rutland, VT by specialty
• Clinical Social Worker in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.