Individual provider Active NPI

Lisa R. Lyons, L.C.S.W.

  • Clinical Social Worker
  • Nashville, TN
National Provider Identifier
1215983671
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4678 Issued in TN
Practice address
25 Lindsley Ave
Nashville, TN 37210-2038
Phone
(615) 259-9055
Fax
(615) 259-9056
NPI assigned
May 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 4678 TN Primary

Addresses

Primary practice location

25 Lindsley Ave
Nashville, TN 37210-2038

Mailing address

143 Morton Mill Cir
Nashville, TN 37221-6717
Phone (615) 673-2826

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN2 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
I20070424000520 TN Practitioner - Clinical Social Worker 4082719885
I20250806000441 TN Practitioner - Clinical Social Worker 4082719885 Practice locations: Nashville, TN

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4678TNMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215983671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 MORTON MILL CIR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372216717",
            "telephone_number": "615-673-2826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 LINDSLEY AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372102038",
            "telephone_number": "615-259-9055",
            "fax_number": "615-259-9056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYONS",
        "first_name": "LISA",
        "middle_name": "R.",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "4678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.