Individual provider Active NPI

Emily Marie Lyons-Micucci, LCSW

  • Clinical Social Worker
  • Coatesville, PA
National Provider Identifier
1174315576
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW025965 Issued in PA
Practice address
43 Red Oak Dr
Coatesville, PA 19320-1261
Phone
(610) 350-9134
NPI assigned
May 21, 2025
Last updated
May 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW025965 PA Primary

Addresses

Primary practice location

43 Red Oak Dr
Coatesville, PA 19320-1261

Mailing address

43 Red Oak Dr
Coatesville, PA 19320-1261
Phone (610) 350-9134

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DE2 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
I20250603001825 PA Practitioner - Clinical Social Worker 7719496587 Reassigns benefits to 2 organizations
I20251113003954 DE Practitioner - Clinical Social Worker 7719496587 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Everfidelis Counseling and Consulting, LLC CurrentSince Aug 25, 2025 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince May 15, 2025 Accepting new patients
Mental Health Specialty Group PA CurrentSince May 28, 2025 Accepting new patients

Locations

200 Continental Dr
Ste 401
Newark, DE 19713
Phone (302) 238-6200

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

1626 Locust St
Philadelphia, PA 19103
Phone (215) 709-3177

1650 Market St
Philadelphia, PA 19103
Phone (215) 514-0760

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1747785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1174315576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 RED OAK DR",
            "city": "COATESVILLE",
            "state": "PA",
            "postal_code": "193201261",
            "telephone_number": "610-350-9134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 RED OAK DR",
            "city": "COATESVILLE",
            "state": "PA",
            "postal_code": "193201261",
            "telephone_number": "610-350-9134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYONS-MICUCCI",
        "first_name": "EMILY",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-21",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW025965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coatesville, PA

Sources for this page

Verify at the official NPI Registry.