Mary Cynthia Dygert, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34001958A Issued in IN

Practice address

119 W Market St
Columbia City, IN 46725-2311

Phone

(260) 248-8176

Fax

(260) 248-2366

NPI assigned

Jun 24, 2005

Last updated

Dec 29, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mary Dygert Beavans Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325116800000",
    "number": "1487650362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 N HARRISON ST",
            "address_2": "ATTN: ANNE LAWSON",
            "city": "WARSAW",
            "state": "IN",
            "postal_code": "465803163",
            "telephone_number": "574-267-7169",
            "fax_number": "574-268-2377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 W MARKET ST",
            "city": "COLUMBIA CITY",
            "state": "IN",
            "postal_code": "467252311",
            "telephone_number": "260-248-8176",
            "fax_number": "260-248-2366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYGERT",
        "first_name": "MARY",
        "middle_name": "CYNTHIA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-24",
        "last_updated": "2011-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34001958A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200283190A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "BEAVANS",
            "middle_name": "DYGERT",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mary Margaret Cyrus, CMT
• Ge'Onna Marie Decker, MS,PT
• Richard S Dickmeyer, M.D.
• Driving Advancement LLC (Mobility Plus Columbia City)
• Kayla A Dull
• Seth J Eiler, RBT
• Sydni Farber
• Isaiah T Fincher, RBT
• Diana Finton, NPC
• Lavon Fletcher, LCSW

• Clinical Social Worker in Columbia City, IN
• Providers in Columbia City, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2011; 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.