Individual provider · Type 1 NPI

Courtney Lyon

Clinical Social Worker · Waterford, MI

NPI number 1184575003 Active

Practice location

1435 N Oakland Blvd
Waterford, MI 48327-1549

Mailing address

1255 N Oakland Blvd
Waterford, MI 48327-1545

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6851121315 (MI)

Clinical Social Worker: 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, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1184575003

Courtney Lyon's National Provider Identifier is 1184575003, issued on Feb 6, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Waterford, MI. The record was last updated on Feb 6, 2026.