Individual provider Active NPI

James Chadwick Lyon, MSW, LCSW

  • Clinical Social Worker
  • Evansville, IN
National Provider Identifier
1326496423
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-4574 Issued in HI
Practice address
4770 Covert Ave
Suite 217B
Evansville, IN 47714-5617
Phone
(812) 213-7314
Fax
(812) 485-1455
NPI assigned
May 31, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 34007463A IN
Clinical Social Worker 1041C0700X LCSW-4574 HI Primary

Addresses

Primary practice location

4770 Covert Ave
Suite 217B
Evansville, IN 47714-5617

Mailing address

4770 Covert Ave
Suite 217B
Evansville, IN 47714-5617
Phone (812) 213-7314

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, HI, TX, KY, FL, OR, OH, AZ, AK9 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 9

Enrollment IDStateProvider typePAC IDDetails
I20160902000359 IN Practitioner - Clinical Social Worker 4183910953 Reassigns benefits to 1 organization
I20230221001453 HI Practitioner - Clinical Social Worker 4183910953 Reassigns benefits to 1 organization
I20260423002631 TX Practitioner - Clinical Social Worker 4183910953 Reassigns benefits to 1 organization
I20260428001415 KY Practitioner - Clinical Social Worker 4183910953 Reassigns benefits to 1 organization
I20260429003246 FL Practitioner - Clinical Social Worker 4183910953 Reassigns benefits to 1 organization
I20260501002091 OR Practitioner - Clinical Social Worker 4183910953 Reassigns benefits to 1 organization
I20260505001576 OH Practitioner - Clinical Social Worker 4183910953 Reassigns benefits to 1 organization
I20260522002635 AZ Practitioner - Clinical Social Worker 4183910953 Reassigns benefits to 1 organization
I20260608002629 AK Practitioner - Clinical Social Worker 4183910953 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Clinical Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jameslyon@tdh.allscriptsdirect.net

Organizations & group practices 2

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": "1464652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681257600000",
    "number": "1326496423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4770 COVERT AVE",
            "address_2": "SUITE 217B",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477145617",
            "telephone_number": "812-213-7314",
            "fax_number": "812-485-1455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4770 COVERT AVE",
            "address_2": "SUITE 217B",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477145617",
            "telephone_number": "812-213-7314",
            "fax_number": "812-485-1455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYON",
        "first_name": "JAMES",
        "middle_name": "CHADWICK",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-31",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34007463A",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "LCSW-4574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.