Caitlin V Lyon, MSW, Licsw, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

CAITLIN V LYON, MSW, LICSW, PLLC

Practice address

81 Ridge Runner Rd
Wardensville, WV 26851-8366

Phone

(304) 867-9663

NPI assigned

Feb 26, 2024

Organization subpart

No

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

Authorized official

Name

Caitlin Lyon, MSW, LICSWNPI 1679139232

Title

Owner

Phone

(304) 867-9663

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Caitlin Victoria Lyon, MSW, LICSW

  • Clinical Social Worker
  • Winchester, VA
  • NPI 1679139232

  WV

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1708905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708905600000",
    "number": "1508622887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 RIDGE RUNNER RD",
            "city": "WARDENSVILLE",
            "state": "WV",
            "postal_code": "268518366",
            "telephone_number": "304-813-4372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 RIDGE RUNNER RD",
            "city": "WARDENSVILLE",
            "state": "WV",
            "postal_code": "268518366",
            "telephone_number": "304-867-9663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAITLIN V LYON, MSW, LICSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-26",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-24",
        "status": "A",
        "authorized_official_last_name": "LYON",
        "authorized_official_first_name": "CAITLIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-867-9663",
        "authorized_official_credential": "MSW, LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haley Colleen Ayers
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• Angela Funk
• Hahn Medical Practices, Inc

• Clinical Social Worker in Wardensville, WV
• Providers in Wardensville, WV by specialty
• Clinical Social Worker in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.