Individual provider · Type 1 NPI

Keith Lyons, LCSW

Clinical Social Worker · Melville, NY

NPI number 1407120850 Active

Practice location

555 Broadhollow Road, Suite 216
Melville, NY 11747

Fax (631) 759-2708

Mailing address

PO Box 90
Huntington, NY 11743-0090

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XR075006-1 (NY)

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 1407120850

Keith Lyons, LCSW's National Provider Identifier is 1407120850, issued on Mar 2, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Melville, NY. The record was last updated on Dec 26, 2018.