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KRISTINA LYNN DYER LCSW
NPI 1235807546
Social Worker - Clinical in Southlake, TX

Active since September 01, 2021Opted out of Medicare · through Jul 1, 2028
321 W SOUTHLAKE BLVD, SOUTHLAKE, TX 76092(817) 488-4186(817) 488-7417 Get Directions Write a Review

NPPES record last updated: September 1, 2021. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Kristina Lynn Dyer Lcsw NPPES

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

KRISTINA LYNN DYER LCSW (NPI 1235807546) is an individual clinical provider in Southlake, Texas, licensed in Texas (64975) and active in the NPI registry since September 2021. She has opted out of Medicare through July 1, 2028.

NPPES Registry Identity

NPI1235807546
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKRISTINA LYNN DYERCredential: LCSW
Location Address321 W SOUTHLAKE BLVDSouthlake, TX 76092-6188
Mailing Address321 W Southlake Blvd Ste 100Southlake, TX 76092-6190 · (817) 488-4186
Phone(817) 488-4186
Fax(817) 488-7417
Sole ProprietorNo
Enumeration DateSeptember 1, 2021
NPPES CertifiedJuly 26, 2021
✔ NPI 1235807546 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 TX · 64975
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.
321 W SOUTHLAKE BLVD, Southlake, TX 76092
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Kristina Lynn Dyer Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2024 through July 1, 2028.

Opt-Out Effective DateJuly 1, 2024
Opt-Out In Effect ThroughJuly 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 4

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

SOUTHLAKE ERS ACQUISITION PARTNERS LLC
Clinic/Center (Emergency Care)
321 W SOUTHLAKE BLVD
SOUTHLAKE, TX 76092
Tarrant County (817) 488-1220
LISA TSHUMA PA
Physician Assistant
321 W SOUTHLAKE BLVD, SUITE #180
SOUTHLAKE, TX 76092
Tarrant County (817) 416-2905
HOPKINS DERMATOLOGY TEXAS PLLC
Dermatology
321 W SOUTHLAKE BLVD
SOUTHLAKE, TX 76092
Tarrant County (682) 271-0988
MS. CARRIE O SLEZAK R.D.
Dietitian, Registered
321 W SOUTHLAKE BLVD
SOUTHLAKE, TX 76092
Tarrant County (817) 488-4186

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 Kristina Dyer's NPI number?

The NPI number for Kristina Dyer is 1235807546. It was assigned to this individual provider in the NPPES registry on September 1, 2021.

Where is Kristina Dyer located?

Kristina Dyer practices at 321 W Southlake Blvd, Southlake, TX 76092. The listed phone number is (817) 488-4186.

What is Kristina Dyer's specialty?

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

Is Kristina Dyer enrolled in Medicare?

No. Kristina Dyer has opted out of Medicare through July 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Kristina Dyer accept?

Health plans from Blue Cross and Blue Shield of Texas, Oscar Insurance Company and UnitedHealthcare list Kristina Dyer 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 Kristina Dyer was last updated on September 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.