Caitlin Victoria Lyon, MSW, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

DP00945110 Issued in WV

Practice address

125 S Cameron St
Winchester, VA 22601-4732

Phone

(540) 770-0750

NPI assigned

May 18, 2019

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

Other names 1

• Caitlin Victoria Rebenack Former name

Medicare fee-for-service enrollment

Enrolled in VA, WV2 enrollments

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 2

Specialty

Clinical Social Worker

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Potomac Highlands Mental Health Guild, Inc.Group PAC ID 0244316123, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Caitlin V Lyon, MSW, Licsw, PLLC

  • Clinical Social Worker
  • Wardensville, WV
  • NPI 1508622887
  Medicare reassignment NPD Authorized official
• Potomac Highlands Mental Health Guild, Inc.

  • Community/Behavioral Health Agency
  • Petersburg, WV
  • NPI 1992714398
  Medicare reassignment Care Compare group NPD
• Psychotherapy Associates of Winchester

  • Clinical Social Worker
  • Winchester, VA
  • NPI 1588656672
  Medicare reassignment NPD
• Roxanne Ostlund LPC PLCC

  • Professional Counselor
  • Winchester, VA
  • NPI 1326592742
  NPD (past)

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

{
    "created_epoch": "1558137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708732800000",
    "number": "1679139232",
    "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": "304-867-9663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 S CAMERON ST",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226014732",
            "telephone_number": "540-770-0750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "81 Ridge Runner Rd",
            "address_purpose": "LOCATION",
            "city": "Wardensville",
            "state": "WV",
            "postal_code": "268518366",
            "country_code": "US",
            "telephone_number": "304-867-9663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYON",
        "first_name": "CAITLIN",
        "middle_name": "VICTORIA",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-18",
        "last_updated": "2024-02-24",
        "certification_date": "2024-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904011256",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WV",
            "license": "DP00945110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAITLIN",
            "last_name": "REBENACK",
            "middle_name": "VICTORIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ronda Nichole Lykens, D.C.
• Taylor Lyman
• Narasha A Lynch
• Victoria Jane Whitlow Lyness, MD
• Jeffrey D Lynn, OD
• Lisa A. Lyons, MD
• Paul D Lyons, MD PHD
• Mac Anesthesia Associates PLLC
• Susan Macdonald, LPC
• Elaine C Macdougall, MD

• Clinical Social Worker in Winchester, VA
• Providers in Winchester, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2024; 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.

Verify at the official NPI Registry.