Angela Lyon, LCSW | |
223 N Locust St Apt 1, Grand Island, NE 68801-5930 | |
(308) 391-2280 | |
Not Available |
Full Name | Angela Lyon |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 13 Years |
Location | 223 N Locust St Apt 1, Grand Island, Nebraska |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063844645 | NPI | - | NPPES |
10025173100 | Medicaid | NE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 1700 (Nebraska) | Secondary |
1041C0700X | Social Worker - Clinical | 1772 (Nebraska) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Revive Behavioral Health And Wellness Llc | 6305237918 | 2 |
Entity Name | Revive Behavioral Health And Wellness Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548926801 PECOS PAC ID: 6305237918 Enrollment ID: O20211215001055 |
Mailing Address | Practice Location Address |
---|---|
Angela Lyon, LCSW 223 N Locust St, Grand Island, NE 68801-5920 Ph: (308) 392-2280 | Angela Lyon, LCSW 223 N Locust St Apt 1, Grand Island, NE 68801-5930 Ph: (308) 391-2280 |
Lisa Blain, PLMHP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 914 Baumann Dr, Grand Island, NE 68803 Phone: 308-385-5250 | |
Michelle Diane Stoller, LCSW, LIMHP Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2608 Old Fair Rd, Grand Island, NE 68803 Phone: 308-382-5297 Fax: 308-382-5315 | |
Jo A Griffith, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2201 N Broadwell Ave, Grand Island, NE 68803 Phone: 308-382-3660 | |
David Dean Kreutzer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2121 N Webb Rd, Suite 200, Grand Island, NE 68803 Phone: 308-384-7119 Fax: 308-384-0778 | |
Charla Rae Rasmussen, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2201 N Broadwell Ave # 117c-g, Grand Island, NE 68803 Phone: 308-389-5107 | |
Mrs. Cindy Lynn Niemack-brown, LCSW, LMHP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2201 N Broadwell Ave, C319, Grand Island, NE 68803 Phone: 308-382-3660 Fax: 308-389-5136 |