Mary Jane Dyke, LCSW
NPI 1184177131ActiveIndividual· Social Worker, Clinical· Truth Or Consequences, NM
Social Worker, Clinical (LCSW) in Truth Or Consequences, New Mexico, licensed in NM, with an NPI issued in July 2016. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1184177131 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW |
| Sole proprietor | No |
| NPI issued | Jul 26, 2016 |
| Last updated in NPPES | Nov 28, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | C-10591 | NM |
| Social Worker | 104100000X | M09548 | NM |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (NM) |
|---|
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Clinical Social Worker |
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