Gilbert Anson Lyon III, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

10504 Issued in LA

Practice address

4105 Kirkman St
Lake Charles, LA 70607-4603

Phone

(337) 475-8022

Fax

(337) 475-8054

NPI assigned

Oct 8, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

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

Specialty

Clinical Social Worker

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Swla Center for Health ServicesGroup PAC ID 9133029853, 26 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Swla Center for Health Services

  • Federally Qualified Health Center (FQHC)
  • Lake Charles, LA
  • NPI 1720014186
  Medicare reassignment Care Compare group NPD
• Swla Center for Health Services

  • Pediatrics Physician
  • Lafayette, LA
  • NPI 1366111791
  NPD
• Department of Health and Hospitals

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Lake Charles, LA
  • NPI 1962457358
  NPD (past)
• Louisiana Department of Health, Department of Health and Hospitals

  • Skilled Nursing Facility
  • New Orleans, LA
  • NPI 1730674557
  NPD (past)

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

{
    "created_epoch": "1254960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348185600000",
    "number": "1982939930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4105 KIRKMAN ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706074603",
            "telephone_number": "337-475-8022",
            "fax_number": "337-475-8054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4105 KIRKMAN ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706074603",
            "telephone_number": "337-475-8022",
            "fax_number": "337-475-8054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYON",
        "first_name": "GILBERT",
        "middle_name": "ANSON",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-08",
        "last_updated": "2012-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "10504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOUISIANA STATE BOARD OF SOCIAL WORK EXAMINERS",
            "identifier": "10504",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lunamind, LLC
• Kara Lund
• Antoinette Luquette, NP
• Justin Stryder Lyman, M.D.
• Lynn E Foret MD
• M Alan Hinton MD Apmc
• M&M Family Clinic, Inc.
• Erin Macinnes, MA, MSW, LCSW
• Latosha Babineaux Mackey, NP
• Amy Elizabeth Macmullin, M.D.

• Clinical Social Worker in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Clinical Social Worker in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2012; 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.