Individual provider · Type 1 NPI
Sandra Stacey Jessup Lyons, LCSW, LAC
Clinical Social Worker · Bozeman, MT
Practice location
1700 W Koch St Ste 9
Bozeman, MT 59715-4148
Mailing address
147 Talon Way Unit A
Bozeman, MT 59718-9626
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | BBH-LCSW-LIC-88081 (MT) |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | BBH-LAC-LIC-57706 (MT) |
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 1427734102
Sandra Stacey Jessup Lyons, LCSW, LAC's National Provider Identifier is 1427734102, issued on Jun 26, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bozeman, MT. The record was last updated on Mar 10, 2026.