Active NPI
Joseph Lyons, LICSW
- Clinical Social Worker
- Spokane Valley, WA
National Provider Identifier
1053810564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LW60753397
- Practice address
- 408 N Mullan Rd Ste 112
Spokane Valley, WA 99206 - Phone
- (509) 927-8168
- NPI assigned
- Feb 9, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | |||
| Clinical Social Worker | 1041C0700X | LW60753397 | WA | Primary |
Addresses
Primary practice location
408 N Mullan Rd Ste 112
Spokane Valley, WA 99206
Mailing address
408 N Mullan Rd Ste 112
Spokane Valley, WA 99206-3800
Other practice location 1
1521 N Argonne Rd Ste C208
Spokane Valley, WA 99212-2545
Phone (406) 471-0429
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526515200000",
"number": "1053810564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "408 N MULLAN RD STE 112",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "992063800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "408 N MULLAN RD STE 112",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "99206",
"telephone_number": "509-927-8168"
}
],
"practiceLocations": [
{
"address_1": "1521 N Argonne Rd Ste C208",
"address_purpose": "LOCATION",
"city": "Spokane Valley",
"state": "WA",
"postal_code": "992122545",
"country_code": "US",
"telephone_number": "406-471-0429",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LYONS",
"first_name": "JOSEPH",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-02-09",
"last_updated": "2018-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "LW60753397",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spokane Valley, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.