Keith Lyons Counseling LCSW PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R0775006-1 Issued in NY

Legal business name

KEITH LYONS COUNSELING LCSW PLLC

Practice address

555 Broadhollow Rd
Suite 216
Melville, NY 11747-5078

Phone

(516) 730-6124

Fax

(631) 759-2708

NPI assigned

Aug 6, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Keith Lyons, LCSWR

Title

Managing Member

Phone

(516) 730-6124

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1344211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385510400000",
    "number": "1346597614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 90",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117430090",
            "telephone_number": "516-730-6124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 BROADHOLLOW RD",
            "address_2": "SUITE 216",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117475078",
            "telephone_number": "516-730-6124",
            "fax_number": "631-759-2708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH LYONS COUNSELING LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-06",
        "last_updated": "2013-11-27",
        "status": "A",
        "authorized_official_last_name": "LYONS",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "516-730-6124",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSWR"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R0775006-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Daniel J Kenigsberg, MD
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• Kesha Kennedy
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• Clinical Social Worker in Melville, NY
• Providers in Melville, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.