Active NPI
Cheyenne Lasean Dyer, LSW
- Social Worker
- Chicago, IL
National Provider Identifier
1538878558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 104100000X
- Practice address
- 2600 S Michigan Ave Ste 104
Chicago, IL 60616-2857 - Phone
- (224) 275-1712
- NPI assigned
- Nov 17, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 104100000X | IL | Primary |
Addresses
Primary practice location
2600 S Michigan Ave Ste 104
Chicago, IL 60616-2857
Mailing address
2348 Post Rd Ste 107
Warwick, RI 02886-2271
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104100000X | IL | MD | Social Worker |
Interoperability endpoints
- cheyenne.dyer.p1@direct.hcenter.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670544000000",
"number": "1538878558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2348 POST RD STE 107",
"city": "WARWICK",
"state": "RI",
"postal_code": "028862271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 S MICHIGAN AVE STE 104",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606162857",
"telephone_number": "224-275-1712"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DYER",
"first_name": "CHEYENNE",
"middle_name": "LASEAN",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-11-17",
"last_updated": "2022-12-09",
"certification_date": "2022-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IL",
"license": "104100000X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.