Individual provider Active NPI

Pauline Lundgren Dyer, LISW-CP

  • Clinical Social Worker
  • Asheville, NC
National Provider Identifier
1528517489
Registry record updated Apr 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9316 Issued in SC
Practice address
333 Gashes Creek Rd
Asheville, NC 28803-9405
Phone
(828) 650-8232
NPI assigned
Oct 3, 2016
Last updated
Apr 8, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2021

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 9316 SC Primary

Addresses

Primary practice location

333 Gashes Creek Rd
Asheville, NC 28803-9405

Mailing address

PO Box 1869
Fletcher, NC 28732-1869
Phone (828) 687-5698

Other practice location 1

15 Skyland Inn Dr
Arden, NC 28704-7714
Phone (828) 650-8232

Other practice location 2

1881 Pisgah Dr Bldg A
Hendersonville, NC 28791-3760
Phone (828) 650-8232

Other names 1

  • Pauline Davis Lundgren Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20190922000011 NC Practitioner - Clinical Social Worker 3072893353 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Fletcher Hospital IncGroup PAC ID 5395658819, 302 clinicians

Practice addresses (Care Compare)

15 Skyland Inn Dr
Arden, NC 28704-7714
Phone (828) 654-5001

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9316SCMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Fletcher Hospital Inc. Current Accepting new patients
Fletcher Hospital Inc CurrentSince Aug 5, 2019 Accepting new patients
Fletcher Hospital Inc. CurrentSince Aug 5, 2019 Accepting new patients

Locations

15 Skyland Inn Dr
Fl 2
Arden, NC 28704
Phone (828) 654-5005

15 Skyland Inn Dr
Arden, NC 28704
Phone (828) 654-5001

333 Gashes Creek Rd
Asheville, NC 28803
Phone (828) 298-0333

1388 Sand Hill Rd
Ste 1
Candler, NC 28715
Phone (828) 365-7652

80 Doctors Dr
Ste 1
Hendersonvlle, NC 28792
Phone (282) 654-0073

1881 Pisgah Dr
Bldg A
Hendersonvlle, NC 28791
Phone (828) 694-6722

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1475452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617840000000",
    "number": "1528517489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1869",
            "city": "FLETCHER",
            "state": "NC",
            "postal_code": "287321869",
            "telephone_number": "828-687-5698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 GASHES CREEK RD",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288039405",
            "telephone_number": "828-650-8232"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 Skyland Inn Dr",
            "address_purpose": "LOCATION",
            "city": "Arden",
            "state": "NC",
            "postal_code": "287047714",
            "country_code": "US",
            "telephone_number": "828-650-8232",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1881 Pisgah Dr Bldg A",
            "address_purpose": "LOCATION",
            "city": "Hendersonville",
            "state": "NC",
            "postal_code": "287913760",
            "country_code": "US",
            "telephone_number": "828-650-8232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DYER",
        "first_name": "PAULINE",
        "middle_name": "LUNDGREN",
        "credential": "LISW-CP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-03",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "9316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAULINE",
            "last_name": "LUNDGREN",
            "middle_name": "DAVIS",
            "credential": "LISW-CP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.