Lillie Vanessa Lyons, LGSW
Individual provider Active NPI Social Worker · Washington, DC
NPI 1306207741 · NPPES record last updated Mar 13, 2016
Key facts
- NPI
- 1306207741
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- LG100834 (DC)
- Practice address
- 2616 Martin Luther King Jr Ave SE
Washington, DC 20020-7715 - Phone
- (202) 724-7847
- Fax
- (202) 724-7846
- NPI assigned
- Mar 13, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
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 |
|---|---|---|---|
| LG100834 | DC | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paving the Way Multi Service Institute | Past |
Accepting new patients | |
| Zion Family Practice, LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | LG100834 | DC | Yes |
| Social Worker | 104100000X | MD |
Addresses
Primary practice location
2616 Martin Luther King Jr Ave SE
Washington, DC 20020-7715
Mailing address
716 Gallatin St NW
Washington, DC 20011-4028
Phone (202) 465-2293
Other providers in Washington, DC
- Rachel Lyons-Hantz
- Arthur Lyons
- Daniel P Lyons
- Laniejah India Lyons
- Leah Rose Lyons
- Nicole A Lyons
- Quitibilla L Lyons
- Raymond David Lyons
- Sawyer Lyons
- Timothy Roger Lyons
All providers in Washington, DC · Social Worker in District of Columbia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 13, 2016. 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.