MR. MATTHEW LYON (NPI# 1043529720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043529720 |
| Entity Type | Individual |
| Full Name | MR. MATTHEW LYON |
| Credential | LCSW |
| Practice Address |
204 Hampton Dr Venice CA 90291-2623 |
| Practice Telephone | 3103966468 |
| Practice Fax Number | 3103928402 |
| Enumeration Date | 2010-09-29 |
| Last Update Date | 2019-02-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
ASW35084 | CA | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCSW81868 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588686844 | Matthew Houston Lyon | Audiologist | 1500 N Mesa St, El Paso, TX 79902-4019 | 2006-07-24 |
| 1164069811 | Matthew Lyon | Counselor | 1510 S Vine Ave, Tyler, TX 75701-2826 | 2019-12-02 |
| 1053598607 | Matthew Lyon | Chiropractor | 725 Providence Rd, Suite 216a, Charlotte, NC 28207-2370 | 2008-01-25 |
| 1932218146 | Matthew L. Lyon | Emergency Medicine | 1120 15th St, Augusta, GA 30912-0004 | 2006-08-30 |
| Street Address |
204 HAMPTON DR |
| City | VENICE |
| State | CA |
| Zip Code | 90291-2623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265569545 | Joaquin Ortega | Rehabilitation Practitioner | 204 Hampton Dr, Dept 3100, Venice, CA 90291-2623 | 2007-02-27 |
| 1972104412 | Keira Armstrong | Student in an Organized Health Care Education/Training Program | 204 Hampton Dr, Venice, CA 90291-2623 | 2020-11-02 |
| 1588261614 | Joel Perez Jr. | Student in an Organized Health Care Education/Training Program | 204 Hampton Dr, Venice, CA 90291-2623 | 2020-10-01 |
| 1194332189 | Jessica Dian Bryant | Student in an Organized Health Care Education/Training Program | 204 Hampton Dr, Venice, CA 90291-2623 | 2020-09-24 |
| 1841804135 | Jonathon Vorpe | Counselor | 204 Hampton Dr, Venice, CA 90291-8633 | 2020-09-03 |
| 1730792540 | Austin Michael Martinez | Counselor | 204 Hampton Dr, Venice, CA 90291-8633 | 2020-08-31 |
| 1396354288 | Efren Espinoza | Case Manager/Care Coordinator | 204 Hampton Dr, Venice, CA 90291-2623 | 2020-07-27 |
| 1831717917 | Carla A Gonzalez | Case Manager/Care Coordinator | 204 Hampton Dr, Venice, CA 90291-2623 | 2020-07-06 |
| 1164049540 | Alicia Crooks | Case Manager/Care Coordinator | 204 Hampton Dr, Venice, CA 90291-2623 | 2020-07-01 |
| 1437776341 | Kristen Elizabeth Nichols | Counselor | 204 Hampton Dr, Venice, CA 90291-2623 | 2020-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033629837 | Dylan Booth | Dentist | 601 Vernon Ave, Venice, CA 90291 | 2017-10-05 |
| 1467979500 | Linda Sittler | Registered Nurse | 1025 Palms Ave, Venice, CA 90291 | 2017-08-29 |
| 1003218660 | Patricia Guadalupe Rivas | Counselor | 717 Lincoln Blvd., Venice, CA 90291 | 2014-09-25 |
| 1497016877 | Carrie Lynn Kowalski | Physician Assistant | 604 Rose Avenue, Venice, CA 90291 | 2012-06-02 |
| 1821364761 | Cheryl Lynn Perkins | Nutritionist | 215 Culver Boulevard, # 5203, Playa Del Rey, CA 90291 | 2012-03-26 |
| 1629391875 | James L. Hoff | Optometrist | 1636 Abbot Kinney Blvd., Venice, CA 90291 | 2010-03-02 |
| 1720315096 | Kristen Nicol Leishman | Counselor | 911 Coeur D'alene Ave, Venice, CA 90291 | 2009-11-06 |
| 1922237882 | David Anthony Garcia | Physician Assistant | 15031 Rinaldi St., Providence Holy Cross Medical Center Ed, Mission Hills, CA 90291 | 2009-07-13 |
| 1548411010 | David Watts | Acupuncturist | 307 S. Robertson Blvd, Beverly Hills, CA 90291 | 2008-10-02 |
| 1184891699 | Judy Alexander | Voluntary or Charitable | 204 Hampton Drive, St Joseph Center, Venice, CA 90291 | 2008-05-14 |
| Find all providers in zip 90291 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003429796 | Diane K Clukey Chenard | Social Worker | 230 Tamiami Trl S Ste 3, Venice, FL 34285-2453 | 2020-08-24 |
| 1649794280 | Ireland Consulting LLC | Social Worker | 2606 Heatherwood Cir, Venice, FL 34292-2411 | 2017-07-26 |
| 1356863013 | Javanne Golob | Social Worker | 237 4th Ave Apt B2, Venice, CA 90291-8651 | 2017-07-13 |
| 1255718649 | Kyla Whipple | Social Worker | 333 Tamiami Trl S Ste 284, Venice, FL 34285-2441 | 2015-05-05 |
| 1396183331 | Cheryl Jon Andrews | Social Worker | 3323 Meadow Run Cir, Venice, FL 34293-1417 | 2013-06-12 |
| 1760724710 | Christina F Cassidy | Social Worker | 1515 Tamiami Trl S Ste 5, Venice, FL 34285-5557 | 2013-03-17 |
| 1881964286 | Sari Yoshioka | Social Worker | 2327 Glyndon Ave, Venice, CA 90291-4044 | 2012-01-03 |
| 1629399704 | Martha Gail Spiegelman | Social Worker | 1820 Raintree Ln, Venice, FL 34293-2043 | 2010-06-12 |
| 1457591034 | Linda Mccauslin Pa | Social Worker | 264 Center Rd, Venice, FL 34285-5514 | 2009-02-23 |
| 1316101215 | Lee Gerald Watts | Social Worker | 1515 Tamiami Trl S, Suite 5, Venice, FL 34285-5557 | 2008-07-10 |
| Find all providers in VENICE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.