Sandra Nemiroff Lyons, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1030337 Issued in MA

Practice address

25 Willow St
West Roxbury, MA 02132-1537

Phone

(617) 469-3080

Fax

(617) 469-3085

NPI assigned

Nov 19, 2007

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

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": "1195430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195430400000",
    "number": "1881875789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 CAROLINA PL",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021303211",
            "telephone_number": "617-524-2305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 WILLOW ST",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "021321537",
            "telephone_number": "617-469-3080",
            "fax_number": "617-469-3085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYONS",
        "first_name": "SANDRA",
        "middle_name": "NEMIROFF",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-19",
        "last_updated": "2007-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1030337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yelena Z Lukashev, MA
• Natalia Lundin
• Luz Stella Loaiza
• Dan Ly, MD
• Christine Lyons, R.N.
• Laura Macadam
• Julianna Maccarone
• Jennifer Lee Macdonald, MSRD
• Kelly Robin Macdonald, PHARMD.
• Patricia K Macdonald, RD LDN CDE

• Clinical Social Worker in West Roxbury, MA
• Providers in West Roxbury, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2007; 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.