Active NPI
Lesley Ann Tyler, L.C.S.W.
- Clinical Social Worker
- Dover Foxcroft, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC13781
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121128000307 | ME | Practitioner - Clinical Social Worker | 4385896281 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 92.4
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC13781 | ME | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Affiliates Maine, LLC | Current | Accepting new patients | |
| MRH Corp. | Current | 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.
-
- Medicare Defined Swing Bed Hospital Unit
- Dover Foxcroft, ME
- NPI 1548463623
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; 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.