Organization Active NPI

Robert P. Lyle, Jr. Licsw & Associates, Inc., PS

Doing business as Lyle & Associates

  • Clinical Social Worker
  • Lynnwood, WA
National Provider Identifier
1902817125
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW00005375 Issued in WA
Legal business name
ROBERT P. LYLE, JR. LICSW & ASSOCIATES, INC., PS
Doing business as
Lyle & Associates
Practice address
3924 204TH St SW
Ste. 111
Lynnwood, WA 98036-9368
Phone
(206) 522-5378
Fax
(206) 527-3375
NPI assigned
Aug 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Robert Patterson Lyle Jr., LICSW, CEAP, MAC
Title
President
Phone
(206) 527-4395

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X LW00005375 WA Primary

Addresses

Primary practice location

3924 204TH St SW
Ste. 111
Lynnwood, WA 98036-9368

Mailing address

3924 204TH St SW
Ste. 111
Lynnwood, WA 98036-9368
Phone (206) 522-5378

Other names 1

  • Lyle & Associates Doing business as

National Provider Directory

National Provider Directory

Locations

3924 204th St SW
Ste 111
Lynnwood, WA 98036
Phone (425) 478-0152

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902817125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3924 204TH ST SW",
            "address_2": "STE. 111",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980369368",
            "telephone_number": "206-522-5378",
            "fax_number": "206-527-3375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3924 204TH ST SW",
            "address_2": "STE. 111",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980369368",
            "telephone_number": "206-522-5378",
            "fax_number": "206-527-3375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT P. LYLE, JR. LICSW & ASSOCIATES, INC., PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LYLE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "PATTERSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-527-4395",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "LICSW, CEAP, MAC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00005375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lyle & Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lynnwood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.