Individual provider · Type 1 NPI

Ed Davis Lyles, LCSW

Clinical Social Worker · Evanston, WY

NPI number 1265655427 Active

Practice location

350 City View Dr, #302
Evanston, WY 82930-5327

Call (307) 789-7915 Map

Fax (307) 789-6009

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW-408 (WY)

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 1265655427

Ed Davis Lyles, LCSW's National Provider Identifier is 1265655427, issued on Apr 10, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Evanston, WY. The record was last updated on Jul 9, 2007.