Jennifer Ann Lyristis, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW017549 Issued in PA

Practice address

283 Butler Rd
Mount Gretna, PA 17064-6085

Phone

(717) 273-8871

NPI assigned

Apr 13, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Philhaven

  • Psychiatric Hospital
  • Lebanon, PA
  • NPI 1972598076
  NPD (past)

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

{
    "created_epoch": "1365811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365811200000",
    "number": "1639512270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1159 STONE HILL RD",
            "city": "CONESTOGA",
            "state": "PA",
            "postal_code": "175169634",
            "telephone_number": "717-399-3442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "283 BUTLER RD",
            "city": "MOUNT GRETNA",
            "state": "PA",
            "postal_code": "170646085",
            "telephone_number": "717-273-8871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYRISTIS",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-13",
        "last_updated": "2013-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW017549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Kline, MS
• Brenda L Klinger, MSW
• Harold E Kraybill, MD
• Grant Kuhn
• Tammy A Lazicki, PHD
• Candida R Madrigal, LCSW
• Elisabeth C Mamourian Corona, LCSW
• Charles A Marrone Jr., LCSW
• Jordan Martin, MS, LPC
• Marie L Martone, MA

• Clinical Social Worker in Mount Gretna, PA
• Providers in Mount Gretna, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.