National Provider Identifier

Jill W Lyons, LCSW

Jill W Lyons, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in North Tonawanda, NY and a listed phone number of (716) 807-3707.

NPI 1417232034North Tonawanda, NYClinical Social Worker

Profile Overview

NPI
1417232034
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
October 14, 2011
Last Updated
August 13, 2018

Practice Location

  • 1500 Vanderbilt Ave
  • North Tonawanda, NY 14120

Phone: (716) 807-3707

Mailing Address

  • 1500 Vanderbilt Ave
  • North Tonawanda, NY 14120-1819

Specialties

  • Clinical Social Worker (1041C0700X)
  • School Social Worker (1041S0200X)
Full Record
NPI
1417232034
Entity Type
Individual
Last Name
Lyons
First Name
Jill
Middle Name
W
Credential
LCSW
Mailing Street Address
1500 Vanderbilt Ave
Mailing City
North Tonawanda
Mailing State
NY
Mailing ZIP Code
14120-1819
Mailing Country
US
Mailing Phone
(716) 807-3707
Mailing Fax
(716) 807-3701
Practice Street Address
1500 Vanderbilt Ave
Practice City
North Tonawanda
Practice State
NY
Practice ZIP Code
14120
Practice Country
US
Practice Phone
(716) 807-3707
Practice Fax
(716) 807-3701
Enumeration Date
October 14, 2011
Last Updated
August 13, 2018
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X), School Social Worker (1041S0200X)