Sherri Lyss, M.S.W.,L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

003242 Issued in MO

Practice address

760 Harvard Ave
Saint Louis, MO 63130-3134

Phone

(314) 665-0141

Fax

(314) 776-9073

NPI assigned

May 12, 2008

Sex

Female

Sole proprietor

Yes

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

Enrolled in MO

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 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664409600000",
    "number": "1861669657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 HARVARD AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631303134",
            "telephone_number": "314-726-5644",
            "fax_number": "314-776-9073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 HARVARD AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631303134",
            "telephone_number": "314-665-0141",
            "fax_number": "314-776-9073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYSS",
        "first_name": "SHERRI",
        "name_prefix": "Ms.",
        "credential": "M.S.W.,L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-12",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "003242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle Patrick Lyons, PHARM.D.
• Valerie Lyons, PH.D.
• Alan P Lyss, MD
• Alexander Maxwell Lyss, OD
• Carl A. Lyss, MD
• Sheryl Bryan Lyss, MD, MPH
• Taras Lysyy, MD, MCH
• Irina Lytvak, M.D.
• Yanqing Lyu
• Mariya Lyubomirova Lyubenova-Ivanova, MD

• Clinical Social Worker in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.