STEPHANIE LYLE LICSW, LCSW
NPI 1407245202
Social Worker - Clinical in Vancouver, WA

Q: What is Stephanie Lyle's NPI number?

The NPI number for Stephanie Lyle is 1407245202. It was assigned to this individual provider in the NPPES registry on January 15, 2015.

Q: What is Stephanie Lyle's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Stephanie Lyle was last updated on March 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.

Active since January 15, 2015PECOS EnrolledAccepts Medicare Assignment

1498 SE TECH CENTER PL STE 300, VANCOUVER, WA 98683(360) 910-3276 Get Directions Write a Review

NPPES record last updated: March 14, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 14, 2025, Dec 2, 2024, May 31, 2021 (3 updates tracked since 2021).

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About Stephanie Lyle Licsw, Lcsw NPPES

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

STEPHANIE LYLE LICSW, LCSW (NPI 1407245202) is an individual clinical provider in Vancouver, Washington, licensed in Washington (LW60431537) and active in the NPI registry since January 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Vancouver, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1407245202

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameSTEPHANIE LYLECredential: LICSW, LCSW

Location Address1498 SE TECH CENTER PL STE 300Vancouver, WA 98683-5509

Mailing Address16504 Ne 35th StVancouver, WA 98682-8661

Phone(360) 910-3276

Sole ProprietorNo

Medical School CMSOtherGraduated 2008

Enumeration DateJanuary 15, 2015

Last NPPES UpdateMarch 14, 20253 updates tracked since enumeration

NPPES CertifiedMarch 14, 2025

✔ NPI 1407245202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

Licenses✔ Licensed in WA · LW60431537✔ Licensed in OR · L15159

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.

1498 SE TECH CENTER PL STE 300, Vancouver, WA 98683

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Secondary Practice Location 1

Location 116504 NE 35th StVancouver, WA 98682-8661 · Phone (360) 910-3276

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Kaiser Permanente, Moda Health Plan, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Stephanie Lyle Licsw, Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3870026495

PECOS Enrollment IDI20241104001940

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.

Medicare Billing Reassignment

Medicare enrollment records show Stephanie Lyle reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Real Life Counseling PLLC

Same address

Clinical

1498 SE TECH CENTER PL STE 300
Vancouver, WA 98683

Reassigned Medicare billing, Washington enrollment
54 clinicians in this Medicare group

NPI 1053782078 (360) 619-2226

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98683 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 $57.27 – $172.80

Typical copayment $0.00 (range $14.31 – $43.20)

Most-billed visit code NA

Established Patient

$71.29 typical visit price

range $18.56 – $141.11

Typical copayment $17.82 (range $4.64 – $35.27)

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 20

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

MR. JOSEPH MELVIN KLEMZ LICSW

Social Worker (Clinical)