Jessica G Lyons is a Clinical in Hartford, Connecticut. Jessica G Lyons practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jessica G Lyons is 1720255862. The last update date is 2008-05-08.
Jessica G Lyons's current location address is 664 Prospect Avenue, Hartford, Connecticut. You can contact this provider via phone number 8602320020. The mailing address for Jessica G Lyons is 664 Prospect Avenue, Hartford, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jessica G Lyons |
|---|---|
| Address | 664 Prospect Avenue, Hartford, Connecticut |
| Phone Number | 8602320020 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1720255862 |
|---|---|
| Provider Enumeration Date | 2008-05-08 |
| Last Updated Date | 2008-05-08 |
Provider Mailing Address Detail
| Address | 664 Prospect Avenue |
|---|---|
| City | Hartford |
| State | Connecticut (CT) |
| Post Code | 61054203 |
| Phone Number | 8602320020 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 4755 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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What is the unique 10-digit identification code assigned to Jessica G Lyons by the Centers for Medicare & Medicaid Services?
The Jessica G Lyons has been issued the NPI (National Provider Identifier) 1720255862, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Jessica G Lyons is physically located?
The Jessica G Lyons is physically situated at the following address: 664 Prospect Avenue, Hartford, CT, 61054203.
What is Jessica G Lyons's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jessica G Lyons's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1720255862 to Jessica G Lyons?
The Centers for Medicare & Medicaid Services originally issued the 1720255862 to Jessica G Lyons on 2008-05-08.
As of what date were the Jessica G Lyons's details last updated?
The information pertaining to the Jessica G Lyons, including its address, specialty, and other details, was most recently updated on 2008-05-08.
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