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LILY DOLYAK MSW, LICSW
NPI 1134839632
Social Worker - Clinical in Somerville, MA

Active since November 25, 2022PECOS Enrolled
50 EVERGREEN AVE, SOMERVILLE, MA 02145(617) 625-6600 Get Directions Write a Review

NPPES record last updated: April 9, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 9, 2026, Nov 25, 2022 (2 updates tracked since 2022).

About Lily Dolyak Msw, Licsw NPPES

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

LILY DOLYAK MSW, LICSW (NPI 1134839632) is an individual clinical provider in Somerville, Massachusetts, licensed in Massachusetts (LICSW126187) and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Cambridge, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1134839632
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameLILY DOLYAKCredential: MSW, LICSW
Location Address50 EVERGREEN AVESomerville, MA 02145-2819
Mailing Address327 Main St Apt 2Medford, MA 02155-6176 · (203) 980-3926
Phone(617) 625-6600
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateNovember 25, 2022
Last NPPES UpdateApril 9, 20262 updates tracked since enumeration
NPPES CertifiedApril 9, 2026
✔ NPI 1134839632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MA · LICSW126187
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.
Also ListedSocial WorkerTaxonomy 104100000X
50 EVERGREEN AVE, Somerville, MA 02145
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Secondary Practice Location 1

Location 1700 Massachusetts Ave Fl 3Cambridge, MA 02139-3345 · Phone (888) 500-2067 · Fax (617) 649-8520

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care, Select Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lily Dolyak Msw, Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID446710990
PECOS Enrollment IDI20260903000876
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.

Medicare Billing Reassignment

Medicare enrollment records show Lily Dolyak reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clearview Counseling Group Inc
77 mi
Mental Health (Including Community Mental Health Center)
175 DWIGHT RD STE 201B
Longmeadow, MA 01106
  • Reassigned Medicare billing, Massachusetts enrollment
  • 7 clinicians in this Medicare group
NPI 1689177123 (413) 237-9010

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02145 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 $63.72 – $189.86
Typical copayment $0.00 (range $15.93 – $47.46)
Most-billed visit code NA
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. MAUREEN MONAGLE RN
Registered Nurse
50 EVERGREEN AVE
SOMERVILLE, MA 02145
Middlesex County (617) 625-6600
CITY OF SOMERVILLE
Public Health or Welfare
50 EVERGREEN AVE, CITY HALL ANNEX, HEALTH DEPT.
SOMERVILLE, MA 02145
Middlesex County (617) 625-6600
LUCIANA M QUINTANILHA LICSW
Social Worker (Clinical)
50 EVERGREEN AVE
SOMERVILLE, MA 02145
Middlesex County (617) 625-6600

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 Lily Dolyak's NPI number?

The NPI number for Lily Dolyak is 1134839632. It was assigned to this individual provider in the NPPES registry on November 25, 2022.

Where is Lily Dolyak located?

Lily Dolyak practices at 50 Evergreen Ave, Somerville, MA 02145. The listed phone number is (617) 625-6600.

What is Lily Dolyak's specialty?

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

Is Lily Dolyak enrolled in Medicare?

Yes. Lily Dolyak is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lily Dolyak's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lily Dolyak reassigns Medicare benefits to Clearview Counseling Group Inc (Longmeadow, MA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lily Dolyak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lily Dolyak accept?

Health plans from Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and Select Health list Lily Dolyak 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 Lily Dolyak was last updated on April 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.