Active NPI
Marion Richmond Dwyer, L.I.C.S.W.
- Clinical Social Worker
- Duxbury, MA
National Provider Identifier
1962503755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 102339
- Practice address
- 20 Tremont St
Duxbury, MA 02332-5310 - Phone
- (781) 934-0953
- NPI assigned
- Sep 26, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | 102339 | MA | Primary |
Addresses
Primary practice location
20 Tremont St
Duxbury, MA 02332-5310
Mailing address
91 Parting Rock Rd
Duxbury, MA 02332-3214
Phone (781) 837-3589
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PO1550 | Other | MA | BLUE CROSS BLUE SHIELD ID |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050223000688 | MA | Practitioner - Clinical Social Worker | 6608829213 | Practice locations: Duxbury, MA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1974
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
106 Tussock Brook Rd
Duxbury, MA 02332-4835
20 Tremont St
Suite 15
Duxbury, MA 02332-5315
Phone (781) 934-0953
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962503755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "91 PARTING ROCK RD",
"city": "DUXBURY",
"state": "MA",
"postal_code": "023323214",
"telephone_number": "781-837-3589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 TREMONT ST",
"city": "DUXBURY",
"state": "MA",
"postal_code": "023325310",
"telephone_number": "781-934-0953"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DWYER",
"first_name": "MARION",
"middle_name": "RICHMOND",
"name_prefix": "Mrs.",
"credential": "L.I.C.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "102339",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD ID",
"identifier": "PO1550",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Duxbury, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.