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MR. GERALD WALTER DWYER LCSW
NPI 1124145958
Social Worker - Clinical in Staten Island, NY

Active since March 25, 2007PECOS EnrolledAccepts Medicare Assignment
4062 AMBOY RD, STATEN ISLAND, NY 10308(718) 984-0854(718) 984-0854 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Gerald Walter Dwyer Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. GERALD WALTER DWYER LCSW (NPI 1124145958) is an individual clinical provider in Staten Island, New York, licensed in New York (R054922) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1124145958
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. GERALD WALTER DWYERCredential: LCSW
Location Address4062 AMBOY RDStaten Island, NY 10308-2409
Mailing Address12 Grandview TerStaten Island, NY 10308-2812 · (718) 984-0854 · Fax (718) 984-0854
Phone(718) 984-0854
Fax(718) 984-0854
Sole ProprietorYes
Medical School CMSOtherGraduated 1996
Enumeration DateMarch 25, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1124145958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NY · R054922
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
4062 AMBOY RD, Staten Island, NY 10308
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Other Identifiers 7

Medicare ID-Type UnspecifiedNF1251NY
Other62-27456NY · United Healthcare Service
Medicaid0211582NY
OtherP2533945NY · Oxford Health Plan
Other000100400301NY · Health Plus
Other198504NY · Compsych Corporation
Other132568NY · 1199eiu National Benefit

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Gerald Walter Dwyer Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1456370378
PECOS Enrollment IDI20051121000040
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10308 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $67.40 – $203.53
Typical copayment $0.00 (range $16.85 – $50.88)
Most-billed visit code NA
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gerald Dwyer's NPI number?

The NPI number for Gerald Dwyer is 1124145958. It was assigned to this individual provider in the NPPES registry on March 25, 2007.

Where is Gerald Dwyer located?

Gerald Dwyer practices at 4062 Amboy Rd, Staten Island, NY 10308. The listed phone number is (718) 984-0854.

What is Gerald Dwyer's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Gerald Dwyer enrolled in Medicare?

Yes. Gerald Dwyer is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Gerald Dwyer accept?

Health plans from Providence Health Plan list Gerald Dwyer as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gerald Dwyer was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.