HOLLY CYR (CISW) – Clinical Social Worker, NPI 1154492304

HOLLY CYR (CISW) is a healthcare provider. based in New london, Connecticut. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials CISW. They hold a License No. 4124 (CT). The NPI Number for HOLLY CYR (CISW) is 1154492304

Main info

Female
32 Years Of Experience
Accepts Medicare Assignment
Name
HOLLY CYR (CISW)
NPI
1154492304
Phone
(860) 442-0711
Address
365 MONTAUK AVE
Enumeration Date
10 November 2006
Last Update Date
9 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8604569116
Graduation Year
1994 (32 years ago)
PAC ID
3476608175
Group Practice PAC ID
2961309059
Professional Enrollment ID
I20090902000019
Address ID
CT062262045WI112XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,151 CLINICAL SOCIAL WORKER in CT

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Provider Addresses for HOLLY CYR (CISW)

  • Lawrence+Memorial Hospital, 365, Montauk Avenue, Montauk Avenue Historic District, New London, New London County, Connecticut, 06320, United States

    NEW LONDON, CT 063204700

    Phone: (860) 442-0711

    Fax: (860) 444-4767

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-09-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090902000019IClinical Social WorkerCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06320)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2961309059View full group profile
NameSpecialtyState
General SurgeryCT
Certified Nurse Midwife (Cnm)WA
Internal MedicineCT
O B S T E T R I C S/ G Y N E C O L O G YCT
Internal MedicineCT
-CT
Internal MedicineNY
Internal MedicineNY
Geriatric Psychiatry, PsychiatryCT
Internal MedicineCT

Reviews

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Frequently asked questions

Can I cross-check HOLLY CYR (CISW) using NPI 1154492304?
NPI 1154492304 belongs to HOLLY CYR (CISW); compare other details if you need extra assurance.
Is there an active status for HOLLY CYR (CISW)?
For scheduling context, HOLLY CYR (CISW) is shown as active in the registry.
What area of care is associated with HOLLY CYR (CISW)?
HOLLY CYR (CISW)'s record emphasizes Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What locale is associated with HOLLY CYR (CISW)?
Directory geography for HOLLY CYR (CISW) centers on New London, Connecticut.
Does HOLLY CYR (CISW) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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