Dawn Wyman Licsw PLLC
NPI 1144757691 · Adolescent and Children Mental Health Clinic/Center · Bedford, NH
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Dawn Wyman Licsw PLLC is a Adolescent and Children Mental Health Clinic/Center organization in Bedford, NH (NPI 1144757691).
Provider details
- NPI number
- 1144757691
- Entity type
- Organization
- Primary specialty
- Adolescent and Children Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Lee Dieter, Billing Manager(603) 714-0870
Specialties & taxonomies
Ambulatory Health Care Facilities
- Adult Mental Health Clinic/Center261QM0850X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2017-05-15
- Last updated
- 2017-05-15
Frequently asked questions
- What is Dawn Wyman Licsw PLLC's NPI number?
- Dawn Wyman Licsw PLLC's National Provider Identifier (NPI) is 1144757691, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dawn Wyman Licsw PLLC?
- Dawn Wyman Licsw PLLC is classified in the NPPES registry as Adolescent and Children Mental Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is Dawn Wyman Licsw PLLC located?
- Dawn Wyman Licsw PLLC's practice location on file with NPPES is 3 Executive Park Dr Ste 212, Bedford, NH 03110-6975.
- What is Dawn Wyman Licsw PLLC's phone number?
- The practice phone number listed in the NPPES registry for Dawn Wyman Licsw PLLC is (603) 440-4519.
- Does Dawn Wyman Licsw PLLC accept Medicare?
- Dawn Wyman Licsw PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Dawn Wyman Licsw PLLC?
- The authorized official listed on Dawn Wyman Licsw PLLC's NPPES record is Lee Dieter, Billing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dawn Wyman Licsw PLLC's NPI active?
- Yes — Dawn Wyman Licsw PLLC's NPI (1144757691) is active in the NPPES registry as of the last update on 2017-05-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.