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JACKLYN DWYER
NPI 1699395426
Social Worker - Clinical in Plattsburgh, NY

Active since April 22, 2020PECOS EnrolledAccepts Medicare Assignment
22 OVAL, SUITE 100, PLATTSBURGH, NY 12903(518) 563-8000 Get Directions Write a Review

NPPES record last updated: September 19, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 19, 2024, Apr 22, 2020 (2 updates tracked since 2020).

About Jacklyn Dwyer NPPES

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

JACKLYN DWYER (NPI 1699395426) is an individual clinical provider in Plattsburgh, New York and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS and is a graduate of Virginia Commonwealth University, School Of Medicine (2018).

NPPES Registry Identity

NPI1699395426
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJACKLYN DWYER
Location Address22 OVAL, SUITE 100Plattsburgh, NY 12903
Mailing Address2598 Lowell AveJacksonville, FL 32254-3211 · (914) 620-5279
Phone(518) 563-8000
Sole ProprietorNo
Medical School CMSVirginia Commonwealth University, School Of MedicineGraduated 2018
Enumeration DateApril 22, 2020
Last NPPES UpdateSeptember 19, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2024
✔ NPI 1699395426 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
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 · License 104638 (NY)
22 OVAL, Plattsburgh, NY 12903
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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

Jacklyn Dwyer 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 ID941653232
PECOS Enrollment IDI20240202002102
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 12903 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 $54.87 – $166.88
Typical copayment $0.00 (range $13.71 – $41.72)
Most-billed visit code NA
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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 Jacklyn Dwyer's NPI number?

The NPI number for Jacklyn Dwyer is 1699395426. It was assigned to this individual provider in the NPPES registry on April 22, 2020.

Where is Jacklyn Dwyer located?

Jacklyn Dwyer practices at 22 Oval Suite 100, Plattsburgh, NY 12903. The listed phone number is (518) 563-8000.

What is Jacklyn Dwyer's specialty?

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

Is Jacklyn Dwyer enrolled in Medicare?

Yes. Jacklyn 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.

When was this NPI record last updated?

The NPPES record for Jacklyn Dwyer was last updated on September 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.