Individual provider Active NPI

Robyn Stoll-Lyons, BSW

  • Clinical Social Worker
  • Manchester, CT
National Provider Identifier
1396096145
Registry record updated Jan 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11459 Issued in CT
Practice address
444 Center St
Manchester, CT 06040-3926
Phone
(860) 646-3888
NPI assigned
Sep 19, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Clinical Social Worker 1041C0700X 11459 CT Primary

Addresses

Primary practice location

444 Center St
Manchester, CT 06040-3926

Mailing address

2 Waterside Xing Ste 401
Windsor, CT 06095-1588
Phone (860) 731-5522

Other practice location 1

1309 S Main St
Waterbury, CT 06706-1758
Phone (203) 756-8021

Other practice location 2

331 Bloomfield Ave.
Suite A
West Hartford, CT 06117
Phone (860) 236-1927 ext. 6708

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20210817002640 CT Practitioner - Clinical Social Worker 9739584558 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Staywell Health Care Inc.Group PAC ID 6305750480, 43 clinicians

Practice addresses (Care Compare)

1309 S Main St
Waterbury, CT 06706-1758
Phone (203) 756-8021

80 Phoenix Ave
Waterbury, CT 06702-1418
Phone (203) 757-5491

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11459CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Staywell Health Care, Inc. CurrentSince May 1, 2024 Accepting new patients
Community Health Resources, Inc. CurrentSince Apr 21, 2021 Accepting new patients
Middlesex Hospital CurrentSince Jul 1, 2022 Accepting new patients
Community Health Resources, Inc. CurrentSince Apr 21, 2021 Accepting new patients
Middlesex Hospital CurrentSince Jul 1, 2022 Accepting new patients

Locations

153 Hazard Ave
Enfield, CT 06082
Phone (860) 253-5020

444 Center St
Manchester, CT 06040
Phone (860) 646-3888

33 Pleasant St
Middletown, CT 06457
Phone (860) 358-8801

28 Crescent St
Middletown, CT 06457
Phone (860) 358-6000

30 Church St
Naugatuck, CT 06770
Phone (203) 805-4929

80 Phoenix Ave
Ste 201
Waterbury, CT 06702
Phone (203) 757-5491

1302 S Main St
Waterbury, CT 06706
Phone (203) 597-9044

114 Benedict St
Waterbury, CT 06706

95 Thomaston Ave
Waterbury, CT 06702
Phone (203) 805-5300

1309 S Main St
Waterbury, CT 06706
Phone (203) 597-9044

402 E Main St
Waterbury, CT 06702
Phone (203) 755-1143

2 Waterside Xing
Ste 401
Windsor, CT 06095

Interoperability endpoints

  • Direct secure messaging: robyn.lyons.p1@direct.wheelerclinic.nextgenshare.com

Organizations & group practices 6

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": "1348012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769731200000",
    "number": "1396096145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 WATERSIDE XING STE 401",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060951588",
            "telephone_number": "860-731-5522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 CENTER ST",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060403926",
            "telephone_number": "860-646-3888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1309 S Main St",
            "address_purpose": "LOCATION",
            "city": "Waterbury",
            "state": "CT",
            "postal_code": "067061758",
            "country_code": "US",
            "telephone_number": "203-756-8021",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "331 Bloomfield Ave.",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "West Hartford",
            "state": "CT",
            "postal_code": "06117",
            "country_code": "US",
            "telephone_number": "860-236-1927 x6708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOLL-LYONS",
        "first_name": "ROBYN",
        "credential": "BSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-19",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "11459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, CT

Sources for this page

Verify at the official NPI Registry.