Jennifer Lyons, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

61588698 Issued in WA

Practice address

201 NE Park Plaza Dr Ste 260
Vancouver, WA 98684-5880

Phone

(619) 315-4363

NPI assigned

Aug 28, 2024

Last updated

Dec 30, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1724803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1174357552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 NW 174TH ST",
            "city": "RIDGEFIELD",
            "state": "WA",
            "postal_code": "986426226",
            "telephone_number": "619-315-4363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 NE PARK PLAZA DR STE 260",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986845880",
            "telephone_number": "619-315-4363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYONS",
        "first_name": "JENNIFER",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-28",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "61588698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thea Lynch, RDN
• Lynette M Pettibone, LDM, LLC (The Bridge Birth and Family Services)
• Morgan Lee Lynn, RN, ELECTROLOGIST
• Lynx Electrolysis and Services (Lynx Electrolysis)
• Joseph Dean Lyon
• Jennifer Lyons, MD
• Linda Lyons, LMP
• Lisa M Lyons, PH.D.
• Sheila O Lyons, NP
• William Reed Lytle, D.D.S

• Clinical Social Worker in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.