Individual provider Active NPI

Lesley Ann Tyler, L.C.S.W.

  • Clinical Social Worker
  • Dover Foxcroft, ME
National Provider Identifier
1811246036
Registry record updated Aug 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC13781 Issued in ME
Practice address
69 High St
Dover Foxcroft, ME 04426-1270
Phone
(207) 564-4567
NPI assigned
Sep 4, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 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 LC13781 ME Primary

Addresses

Primary practice location

69 High St
Dover Foxcroft, ME 04426-1270

Mailing address

69 High St
Dover Foxcroft, ME 04426-1270
Phone (207) 564-4567

Other practice location 1

60 Bates Rd
Abbot, ME 04406-3402
Phone (207) 717-0021

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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
I20121128000307 ME Practitioner - Clinical Social Worker 4385896281 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
92.4
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC13781MEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Health Affiliates Maine, LLC CurrentSince Jan 1, 2025 Accepting new patients
MRH Corp. CurrentSince Mar 1, 2020 Accepting new patients

Locations

306 Rodman Rd
Auburn, ME 04210
Phone (207) 333-3278

69 High St
Dover Foxcroft, ME 04426
Phone (207) 564-4110

891 W Main St
Ste 200
Dovr Foxcroft, ME 04426
Phone (207) 564-4464

891 W Main St
Ste 500
Dovr Foxcroft, ME 04426
Phone (207) 564-4466

897 W Main St
Dovr Foxcroft, ME 04426
Phone (207) 564-4464

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1346716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627862400000",
    "number": "1811246036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 HIGH ST",
            "city": "DOVER FOXCROFT",
            "state": "ME",
            "postal_code": "044261270",
            "telephone_number": "207-564-4567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 HIGH ST",
            "city": "DOVER FOXCROFT",
            "state": "ME",
            "postal_code": "044261270",
            "telephone_number": "207-564-4567"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "60 Bates Rd",
            "address_purpose": "LOCATION",
            "city": "Abbot",
            "state": "ME",
            "postal_code": "044063402",
            "country_code": "US",
            "telephone_number": "207-717-0021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TYLER",
        "first_name": "LESLEY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-04",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC13781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover Foxcroft, ME

Sources for this page

Verify at the official NPI Registry.