Lynette Marie Nisly, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW021173 Issued in PA

Practice address

1417 Oregon Rd
Leola, PA 17540-9754

Phone

(717) 661-3548

Fax

(717) 656-3056

NPI assigned

Dec 19, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Cobys Family Services

  • Voluntary or Charitable Agency
  • Lancaster, PA
  • NPI 1508910126
  NPD
• Family Service

  • Public Health or Welfare Agency
  • Lancaster, PA
  • NPI 1457467078

  Clinical

  NPD (past)

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

{
    "created_epoch": "1513641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586736000000",
    "number": "1669988200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "COBYS FAMILY SERVICES",
            "address_2": "1417 OREGON ROAD",
            "city": "LEOLA",
            "state": "PA",
            "postal_code": "17540",
            "telephone_number": "717-661-3548",
            "fax_number": "717-656-3056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 OREGON RD",
            "city": "LEOLA",
            "state": "PA",
            "postal_code": "175409754",
            "telephone_number": "717-661-3548",
            "fax_number": "717-656-3056"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "171 E King St",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176022803",
            "country_code": "US",
            "telephone_number": "717-656-6580 x505",
            "fax_number": "717-656-3056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NISLY",
        "first_name": "LYNETTE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-19",
        "last_updated": "2020-04-13",
        "certification_date": "2020-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW128091",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW021173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Metanoia Counseling & Consultation LLC
• Mary Lou Murray, PH.D.
• Kathleen Ann Neff, LCSW
• Richard David Niemeyer, MSW
• Richard H. Niemeyer, M.D.
• Nissley Family Chiropractic
• Barbara Jane Nistor, CRNP
• Northern Lancaster County Medical Group
• Northern Lancaster County Medical Group
• Erica Ostrum

• Clinical Social Worker in Leola, PA
• Providers in Leola, 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, 2020; 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.