Individual provider Active NPI

Kathleen M Lyons, LICSW

  • Clinical Social Worker
  • South Hamilton, MA
National Provider Identifier
1295379238
Registry record updated Nov 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
123208 Issued in MA
Practice address
205 Willow St BLDG B
South Hamilton, MA 01982-2255
Phone
(978) 572-0788
Fax
(844) 222-4840
NPI assigned
Nov 2, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2021

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 123208 MA Primary

Addresses

Primary practice location

205 Willow St BLDG B
South Hamilton, MA 01982-2255

Mailing address

1 Canter Brook LN
South Hamilton, MA 01982-5200
Phone (978) 314-0733

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20210907000335 MA Practitioner - Clinical Social Worker 2769888403 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

8 Prince PL
Unit 113
Newburyport, MA 01950-2612
Phone (978) 572-0788

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
123208MAMDCommunity Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Kathleen M Lyons LLC CurrentSince Sep 1, 2021 Accepting new patients

Locations

8 Prince Pl
Unit 113
Newburyport, MA 01950
Phone (978) 572-0788

205 Willow St
Bldg B
South Hamilton, MA 01982
Phone (978) 468-7746

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.

NPI Registry JSON

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

{
    "created_epoch": "1572652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636934400000",
    "number": "1295379238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CANTER BROOK LN",
            "city": "SOUTH HAMILTON",
            "state": "MA",
            "postal_code": "019825200",
            "telephone_number": "978-314-0733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 WILLOW ST BLDG B",
            "city": "SOUTH HAMILTON",
            "state": "MA",
            "postal_code": "019822255",
            "telephone_number": "978-572-0788",
            "fax_number": "844-222-4840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYONS",
        "first_name": "KATHLEEN",
        "middle_name": "M",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-02",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "123208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Hamilton, MA

Sources for this page

Verify at the official NPI Registry.