Colleen Suzanne Lyon

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS 27257 Issued in CA

Practice address

940 E Williams St Ste 102
Banning, CA 92220-5848

Phone

(951) 588-2553

Fax

(951) 755-8992

NPI assigned

Mar 19, 2007

Last updated

Feb 28, 2022By the provider in NPPES

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646006400000",
    "number": "1841314168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 E WILLIAMS ST STE 102",
            "city": "BANNING",
            "state": "CA",
            "postal_code": "922205848",
            "telephone_number": "951-588-2553",
            "fax_number": "951-755-8992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 E WILLIAMS ST STE 102",
            "city": "BANNING",
            "state": "CA",
            "postal_code": "922205848",
            "telephone_number": "951-588-2553",
            "fax_number": "951-755-8992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYON",
        "first_name": "COLLEEN",
        "middle_name": "SUZANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 27257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Odalis Milagros Lopez
• Eric T Lovato, P.A.
• Marie Antoinette Tanare Lucco, FNP-BC
• Alexa Luevanos
• Luxottica Retail North America Inc (Sears Optical at Kmart #C1276)
• Javier Macias
• Laura A Macmanus, NP
• Arnold Estera Magbanua, M.D.
• William Magdaleno
• Gary Malone

• Clinical Social Worker in Banning, CA
• Providers in Banning, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; 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.