Individual provider Active NPI

Diana Lucia Marquez Lyons I, L.C.S.W.

  • Clinical Social Worker
  • Akron, OH
National Provider Identifier
1073814323
Registry record updated Oct 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.1901640 Issued in OH
Practice address
2106 Braewick Cir Ste 102
Akron, OH 44313-6259
Phone
(203) 668-6089
Fax
(203) 457-9889
NPI assigned
Nov 3, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 007338 CT
Clinical Social Worker 1041C0700X I.1901640 OH Primary

Addresses

Primary practice location

2106 Braewick Cir Ste 102
Akron, OH 44313-6259

Mailing address

874 Merriman Rd
Akron, OH 44303-1748
Phone (203) 668-6089

Other practice location 1

3550 Ridgewood Rd
Fairlawn, OH 44333-3122
Phone (330) 572-0645

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, OH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150602001469 CT Practitioner - Clinical Social Worker 8729309885 Practice locations: Guilford, CT
I20191205001912 OH Practitioner - Clinical Social Worker 8729309885 Practice locations: Akron, OH; Fairlawn, OH

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3550 Ridgewood Rd
Fairlawn, OH 44333-3122
Phone (203) 668-6087

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Psych Services LLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1288742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571356800000",
    "number": "1073814323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "874 MERRIMAN RD",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443031748",
            "telephone_number": "203-668-6089",
            "fax_number": "203-457-9889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2106 BRAEWICK CIR STE 102",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443136259",
            "telephone_number": "203-668-6089",
            "fax_number": "203-457-9889"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3550 Ridgewood Rd",
            "address_purpose": "LOCATION",
            "city": "Fairlawn",
            "state": "OH",
            "postal_code": "443333122",
            "country_code": "US",
            "telephone_number": "330-572-0645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARQUEZ LYONS",
        "first_name": "DIANA",
        "middle_name": "LUCIA",
        "name_suffix": "I",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-03",
        "last_updated": "2019-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "007338",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1901640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.