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MRS. FONDA ALTHEA LYLES LCSW
NPI 1194254821
Social Worker - Clinical in Suffolk, VA

Active since June 06, 2017PECOS Enrolled
4400 BRUCE FARM DR, SUFFOLK, VA 23435(757) 537-2919 Get Directions Write a Review

NPPES record last updated: May 24, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 24, 2023, Mar 17, 2018, Jun 6, 2017 (3 updates tracked since 2017).

About Mrs. Fonda Althea Lyles Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. FONDA ALTHEA LYLES LCSW (NPI 1194254821) is an individual clinical provider in Suffolk, Virginia, licensed in Virginia (0904008885) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194254821
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. FONDA ALTHEA LYLESCredential: LCSW
Location Address4400 BRUCE FARM DRSuffolk, VA 23435-1255
Mailing Address4400 Bruce Farm DrSuffolk, VA 23435-1255 · (757) 537-2919
Phone(757) 537-2919
Sole ProprietorYes
Enumeration DateJune 6, 2017
Last NPPES UpdateMay 24, 20233 updates tracked since enumeration
NPPES CertifiedMay 24, 2023
✔ NPI 1194254821 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in VA · 0904008885
Definition
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.
4400 BRUCE FARM DR, Suffolk, VA 23435
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Fonda Althea Lyles Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23435 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $56.19 – $170.30
Typical copayment $0.00 (range $14.04 – $42.57)
Most-billed visit code NA
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ENGAGED N PURPOSE
Community/Behavioral Health
4400 BRUCE FARM DR
SUFFOLK, VA 23435
Suffolk City (757) 537-2919

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fonda Lyles's NPI number?

The NPI number for Fonda Lyles is 1194254821. It was assigned to this individual provider in the NPPES registry on June 6, 2017.

Where is Fonda Lyles located?

Fonda Lyles practices at 4400 Bruce Farm Dr, Suffolk, VA 23435. The listed phone number is (757) 537-2919.

What is Fonda Lyles's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Fonda Lyles enrolled in Medicare?

Yes. Fonda Lyles is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Fonda Lyles was last updated on May 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.