Individual provider · Type 1 NPI

Mary M. Lyles, LCSW, PhD

Clinical Social Worker · Katy, TX

NPI number 1962543801 Active

Practice location

24044 Cinco Village Center Blvd Ste 100
Katy, TX 77494-8433

Call (832) 576-2526 Map

Fax (281) 886-0481

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X992345 (CO)
Clinical Social Worker Primary 1041C0700X51404 (TX)

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 1962543801

Mary M. Lyles, LCSW, PhD's National Provider Identifier is 1962543801, issued on Feb 12, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Katy, TX. The record was last updated on Dec 29, 2011.