Christine Komiske Dwyer, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904008296 Issued in VA

Practice address

4581 Lifestyle LN
Suite 206
Midlothian, VA 23112-4807

Phone

(804) 608-9430

NPI assigned

Nov 14, 2013

Last updated

Apr 13, 2016By 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 names 1

• Lori Christine Komiske Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Christine Komiske Dwyer, LCSW, LLC

  • Clinical Social Worker
  • Midlothian, VA
  • NPI 1760803399
  Authorized official Same address or phone

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

{
    "created_epoch": "1384387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460505600000",
    "number": "1649600404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4581 LIFESTYLE LN",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231124807",
            "telephone_number": "804-608-9430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4581 LIFESTYLE LN",
            "address_2": "SUITE 206",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231124807",
            "telephone_number": "804-608-9430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DWYER",
        "first_name": "CHRISTINE",
        "middle_name": "KOMISKE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-14",
        "last_updated": "2016-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904008296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORI",
            "last_name": "KOMISKE",
            "middle_name": "CHRISTINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Marianne Durkin, OT
• Susannah Jo Dutton, PHARMD
• Lillian Duval, PA
• Christopher Ryan Duvall, RBT
• Dva Healthcare Renal Care Inc (Midlothian Dialysis)
• Dynamic Speech Therapy, PLLC
• Virginia Eacho
• Meredith Eads
• Crystal Lashawn Ealy, NP
• Martha Eanes, LSA-C

• Clinical Social Worker in Midlothian, VA
• Providers in Midlothian, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2016; 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.