Provider Demographics
NPI:1073054367
Name:DWYER, CAROLINE FRANCES (LMSW)
Entity Type:Individual
Prefix:MRS
First Name:CAROLINE
Middle Name:FRANCES
Last Name:DWYER
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39 BROAD AVE
Mailing Address - Street 2:
Mailing Address - City:SAYRE
Mailing Address - State:PA
Mailing Address - Zip Code:18840-2702
Mailing Address - Country:US
Mailing Address - Phone:607-739-3581
Mailing Address - Fax:607-739-3240
Practice Address - Street 1:459 PHILO RD
Practice Address - Street 2:BUILDING 1
Practice Address - City:ELMIRA
Practice Address - State:NY
Practice Address - Zip Code:14903-1051
Practice Address - Country:US
Practice Address - Phone:607-739-3581
Practice Address - Fax:607-739-3240
Is Sole Proprietor?:No
Enumeration Date:2017-03-20
Last Update Date:2017-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY081399104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker