Individual provider Active NPI

Lily Kane-Myette, LCSW

  • Clinical Social Worker
  • Hyannis, MA
National Provider Identifier
1629667902
Registry record updated Jan 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
225657 Issued in MA
Practice address
94 Main St
Hyannis, MA 02601-3146
Phone
(508) 771-7517
NPI assigned
Jan 12, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 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 225657 MA Primary

Addresses

Primary practice location

94 Main St
Hyannis, MA 02601-3146

Mailing address

40 Davis Rd
Falmouth, MA 02540-2813
Phone (774) 255-0101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20240611000819 MA Practitioner - Clinical Social Worker 3476095019 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Beacon of Hope CounselingGroup PAC ID 2668854886, 7 clinicians

Practice addresses (Care Compare)

29 Simpson LN
Suite 6
Falmouth, MA 02540-2230
Phone (617) 548-6966

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
225657MAMDPediatric Allergy/Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beacon of Hope Counseling CurrentSince May 16, 2024 Accepting new patients

Locations

29 Simpson Ln
Ste 6
Falmouth, MA 02540
Phone (617) 548-6966

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1610409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610409600000",
    "number": "1629667902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 DAVIS RD",
            "city": "FALMOUTH",
            "state": "MA",
            "postal_code": "025402813",
            "telephone_number": "774-255-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 MAIN ST",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026013146",
            "telephone_number": "508-771-7517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANE-MYETTE",
        "first_name": "LILY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-12",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "225657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyannis, MA

Sources for this page

Verify at the official NPI Registry.