Lance Charlles Dwyer, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

73859 Issued in CA

Practice address

730 Polk St
San Francisco, CA 94109-7813

Phone

(415) 292-3420

NPI assigned

Dec 9, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Clinical Social Worker

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Asian and Pacific Islander Wellness Center, Inc.Group PAC ID 0143522839, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Asian and Pacific Islander Wellness Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • San Francisco, CA
  • NPI 1376798413
  Medicare reassignment Care Compare group NPD
• Asian and Pacific Islander Wellness Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • San Francisco, CA
  • NPI 1225734650
  NPD
• Asian and Pacific Islander Wellness Center, Inc.

  • Community Health Clinic/Center
  • San Francisco, CA
  • NPI 1922528694
  NPD

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

{
    "created_epoch": "1481241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488585600000",
    "number": "1700320751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 POLK ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941097813",
            "telephone_number": "415-292-3420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 POLK ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941097813",
            "telephone_number": "415-292-3420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DWYER",
        "first_name": "LANCE",
        "middle_name": "CHARLLES",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-12-09",
        "last_updated": "2017-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "73859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole P Dwyer Uribe, CMT
• Allison Dwyer, PA
• Charles Daniel Dwyer
• Jennifer Dwyer
• Katherine Hanson Dwyer, MD
• DX'S Clinical Laboratories
• DXRX Inc.
• Arthur Dy, L.AC.
• Anna Dyadko, M.A.
• Jessica Yuri Dyatlov, FNP

• Clinical Social Worker in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.