Monica Rae Lyon, LLMSW
Individual provider Active NPI Clinical Social Worker · White Cloud, MI
NPI 1255978474 · NPPES record last updated Jul 23, 2021
Key facts
- NPI
- 1255978474
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 6851105534 (MI)
- Practice address
- 1049 E Newell St
White Cloud, MI 49349-8795 - Phone
- (231) 689-7330
- NPI assigned
- Dec 6, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6851105534 | MI | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | |||
| Clinical Social Worker | 1041C0700X | 6851105534 | MI | Yes |
Addresses
Primary practice location
1049 E Newell St
White Cloud, MI 49349-8795
Mailing address
1049 E Newell St
White Cloud, MI 49349-8795
Phone (231) 689-7330
Other providers in White Cloud, MI
- Victoria Christine Linson
- Krista List-Leinberger
- Little Mitten ABA
- Rebecca London
- Danielle Monique Lowery
- Rachel Martin
- Nicholas Mayette
- Russell McDaniel
- Trisha Nell McKinney
- Kayla McKnight
All providers in White Cloud, MI · Clinical Social Worker in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 23, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.