NPI Code Detail JSON Logo

1457122442 NPI number — JUSTINE D LYONS LCSW

NPI Number: 1457122442
Health Care Provider/Practitioner: JUSTINE D LYONS LCSW

Information about “1457122442” NPI (JUSTINE D LYONS LCSW) exists in 1457122442 in HTML format HTML  |  1457122442 in plain Text format TXT  |  1457122442 in PDF (Portable Document Format) PDF  |  1457122442 in an XML format XML  formats.

NPI Number : 1457122442 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1457122442",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LYONS",
    "FirstName": "JUSTINE",
    "MiddleName": "D",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LCSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1096 SW 42ND AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DEERFIELD BEACH",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33442-8255",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "954-899-7487",
    "MailingAddressFaxNumber": "954-531-6931",
    "FirstLinePracticeLocationAddress": "1761 W HILLSBORO BLVD STE 202",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DEERFIELD BEACH",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33442-1561",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "954-899-7487",
    "PracticeLocationAddressFaxNumber": "954-531-6931",
    "EnumerationDate": "01/10/2024",
    "LastUpdateDate": "01/10/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "1041C0700X",
        "TaxonomyName": "Clinical Social Worker",
        "LicenseNumber": "SW22321",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.