Active NPI
Diana Lucia Marquez Lyons I, L.C.S.W.
- Clinical Social Worker
- Akron, OH
National Provider Identifier
1073814323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I.1901640
- 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
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 | 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, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New 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.
-
- Psychiatry Physician
- Guilford, CT
- NPI 1629175807
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.