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NPI Code Detail

MEDICARE: ROBYN LYONS BSW

MEDICARE: ROBYN LYONS BSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker
21041C0700XClinical Social Worker11459CT

General Provider Information

NPI Number : 1396096145
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBYN LYONS BSW
Provider Business Mailing Address
First Line : 2 WATERSIDE XING STE 401
Second Line :
City : WINDSOR
State : CT
Zip : 06095-1588
Country : US
Telephone Number : 860-731-5522
Fax Number :
Provider Business Practice Location Address
First Line : 444 CENTER ST
Second Line :
City : MANCHESTER
State : CT
Zip : 06040-3926
Country : US
Telephone Number : 860-646-3888
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/19/2012
Last Update Date : 01/15/2026

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Directions to “ ROBYN LYONS BSW” Practice Location

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