| John A Lyon, LCSW | |
|
819 30th Ave S Ste 208, Moorhead, MN 56560-5054 | |
| (651) 313-8080 | |
| (651) 925-0610 |
| Full Name | John A Lyon |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 20 Years |
| Location | 819 30th Ave S Ste 208, Moorhead, Minnesota |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316121189 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 30015 (Minnesota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Nystrom And Associates Ltd | 6406752492 | 606 |
| Entity Name | Ellie Family Services Pllp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740664150 PECOS PAC ID: 8325309669 Enrollment ID: O20180228001972 |
| Mailing Address | Practice Location Address |
|---|---|
| John A Lyon, LCSW 1900 Silver Lake Rd Nw Ste 110, New Brighton, MN 55112-1789 Ph: (651) 628-9566 | John A Lyon, LCSW 819 30th Ave S Ste 208, Moorhead, MN 56560-5054 Ph: (651) 313-8080 |
Deborah Ann Bialik, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2405 8th St S Ste 200, Moorhead, MN 56560 Phone: 218-331-4866 | |
Mr. Craig L. Weickert, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1010 32nd Ave S, Moorhead, MN 56560 Phone: 218-233-7524 Fax: 218-233-8627 | |
Sharon Staton, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 403 Center Ave, Moorhead, MN 56560 Phone: 218-233-3991 | |
Ms. Jennifer Jo Faul, LCSW IN ND LGSW IN M Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2925 20th St S, Moorhead, MN 56560 Phone: 218-284-0300 Fax: 218-284-5944 | |
Brian John Martin, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1010 32nd Ave S, Moorhead, MN 56560 Phone: 218-223-7524 | |
Abby Lynn Steer, MSW, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1010 32nd Ave S, Moorhead, MN 56560 Phone: 218-233-7524 Fax: 218-233-8627 | |
Ebla Abdi Hassan, LGSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 850 44th Ave S Apt 211, Moorhead, MN 56560 Phone: 717-554-4217 |