Active NPI
Alyssa Maureen Lyons, LSW
- Social Worker
- Fostoria, OH
National Provider Identifier
1538780861
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S.2106671
- Practice address
- 25 Christopher Dr
Fostoria, OH 44830-3399 - Phone
- (419) 435-8112
- Fax
- (419) 435-6220
- NPI assigned
- Apr 28, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | S.2106671 | OH | Primary |
| Social Worker | 104100000X |
Addresses
Primary practice location
25 Christopher Dr
Fostoria, OH 44830-3399
Mailing address
1100 Shawnee Rd
Lima, OH 45805-3583
Phone (419) 999-2010
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1 Ford PL
Detroit, MI 48202-3067
1 Ford PL
Suite 3a
Detroit, MI 48202-3450
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S.2106671 | OH | MD | Social Worker |
Organizations & group practices 1
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.
-
dba Allegiance Health
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Jackson, MI
- NPI 1326078866
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628553600000",
"number": "1538780861",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 SHAWNEE RD",
"city": "LIMA",
"state": "OH",
"postal_code": "458053583",
"telephone_number": "419-999-2010",
"fax_number": "419-999-6284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 CHRISTOPHER DR",
"city": "FOSTORIA",
"state": "OH",
"postal_code": "448303399",
"telephone_number": "419-435-8112",
"fax_number": "419-435-6220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYONS",
"first_name": "ALYSSA",
"middle_name": "MAUREEN",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-28",
"last_updated": "2021-08-10",
"certification_date": "2021-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S.2106671",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fostoria, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.