| Virginia Lyon, LCSW | |
|
40 Mansfield Ave, Willimantic, CT 06226-2018 | |
| (860) 450-0585 | |
| (860) 450-0763 |
| Full Name | Virginia Lyon |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 40 Mansfield Ave, Willimantic, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033455365 | NPI | - | NPPES |
| 004040564 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 8252 (Connecticut) | Primary |
| Entity Name | Lifesource Of North Carolina |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811286156 PECOS PAC ID: 7416132428 Enrollment ID: O20110505000743 |
| Entity Name | Grow Healthcare Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20221208000188 |
| Mailing Address | Practice Location Address |
|---|---|
| Virginia Lyon, LCSW 45 Fall Brook Rd, Danielson, CT 06239-3709 Ph: () - | Virginia Lyon, LCSW 40 Mansfield Ave, Willimantic, CT 06226-2018 Ph: (860) 450-0585 |
Ariel Cussen, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 289 Windham Rd, Willimantic, CT 06226 Phone: 860-465-2650 | |
Karvada Monique Hurt, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 65 Peru St, Willimantic, CT 06226 Phone: 860-465-9884 | |
Lori Bernier, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 112 Mansfield Ave, Willimantic, CT 06226 Phone: 860-456-6793 Fax: 860-456-6957 | |
Jessica L St. Louis, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 112 Mansfield Ave, Willimantic, CT 06226 Phone: 860-456-6985 Fax: 860-456-6771 | |
Ms. Shannan Farr, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 132 Mansfield Ave, Suite 200, Willimantic, CT 06226 Phone: 860-456-2261 | |
Mrs. Elizabeth Soucy Mendes, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 54 North St, Willimantic, CT 06226 Phone: 860-450-0151 Fax: 860-450-7152 |