Kellie Lyons
Social Worker in Saint Louis Park, MN. Individual provider (NPI-1).
NPI number1992595789
StatusActive
Last updated in NPPESMay 7, 2025
Details
- NPI
- 1992595789
- Entity type
- Individual (NPI-1)
- Name
- Kellie Lyons
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 7, 2025
- Certification date
- May 6, 2025
- Last updated
- May 7, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | – | – | Yes |
Practice location
2350 Ridge Dr Apt 201Saint Louis Park, MN 55416-5652
Phone 763-213-9793
Mailing address
2562 7th Ave E Ste 201Saint Paul, MN 55109-3037
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Social Worker providers in Saint Louis Park, MN
- Emma Marie Burke, LGSWNPI 1467327015
- Alicia Monet EstrelladoNPI 1225971203
- Kendra M Olson, LICSWNPI 1194030932
- Allyson Ann Yee Parenteau, LGSWNPI 1609717701
All 5 Social Worker providers in Saint Louis Park · All 441 providers in Saint Louis Park
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