Individual provider Active NPI

Joan Ruth Lyons, MSW LCSW ACSW

  • Clinical Social Worker
  • Chatham, NJ
National Provider Identifier
1427176387
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
445C00139500 Issued in NJ
Practice address
5B Town Square
Chatham, NJ 07928
Phone
(973) 635-1119
Fax
(973) 635-0120
NPI assigned
Mar 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 445C00139500 NJ Primary

Addresses

Primary practice location

5B Town Square
Chatham, NJ 07928

Mailing address

5B Town Square
Chatham, NJ 07928
Phone (973) 635-1119

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20050414000506 NJ Practitioner - Clinical Social Worker 2365489986 Practice locations: Chatham, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

55 Main St
Suite 1R
Chatham, NJ 07928-2444
Phone (973) 635-1119

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
445C00139500NJMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427176387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5B TOWN SQUARE",
            "city": "CHATHAM",
            "state": "NJ",
            "postal_code": "07928",
            "telephone_number": "973-635-1119",
            "fax_number": "973-635-0120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5B TOWN SQUARE",
            "city": "CHATHAM",
            "state": "NJ",
            "postal_code": "07928",
            "telephone_number": "973-635-1119",
            "fax_number": "973-635-0120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYONS",
        "first_name": "JOAN",
        "middle_name": "RUTH",
        "name_prefix": "Ms.",
        "credential": "MSW LCSW ACSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "445C00139500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chatham, NJ

Sources for this page

Verify at the official NPI Registry.