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KEITH EUEGENE LYONS LCSW
NPI 1538704002
Social Worker - Clinical in San Diego, CA

Active since November 08, 2019PECOS EnrolledAccepts Medicare Assignment
1205 PASEO SEA CLF UNIT 69, SAN DIEGO, CA 92154(619) 632-1002 Get Directions Write a Review

NPPES record last updated: July 28, 2023. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jul 28, 2023, Nov 8, 2019 (2 updates tracked since 2019).

About Keith Euegene Lyons Lcsw NPPES

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

KEITH EUEGENE LYONS LCSW (NPI 1538704002) is an individual clinical provider in San Diego, California, licensed in California (92724) and active in the NPI registry since November 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in Imperial Beach, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1538704002
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameKEITH EUEGENE LYONSCredential: LCSW
Location Address1205 PASEO SEA CLF UNIT 69San Diego, CA 92154-6342
Mailing Address1205 Paseo Sea Clf Unit 69San Diego, CA 92154-6342 · (619) 632-1002
Phone(619) 632-1002
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateNovember 8, 2019
Last NPPES UpdateJuly 28, 20232 updates tracked since enumeration
NPPES CertifiedJuly 28, 2023
✔ NPI 1538704002 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 CA · 92724
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.
1205 PASEO SEA CLF UNIT 69, San Diego, CA 92154
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Secondary Practice Location 1

Location 1742 10th StImperial Beach, CA 91932-2216 · Phone (619) 906-5322

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Keith Euegene Lyons 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 ID9234565896
PECOS Enrollment IDI20200130002126
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 92154 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 $62.10 – $184.71
Typical copayment $0.00 (range $15.52 – $46.17)
Most-billed visit code NA
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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.

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 Keith Lyons's NPI number?

The NPI number for Keith Lyons is 1538704002. It was assigned to this individual provider in the NPPES registry on November 8, 2019.

Where is Keith Lyons located?

Keith Lyons practices at 1205 Paseo Sea Clf Unit 69, San Diego, CA 92154. The listed phone number is (619) 632-1002.

What is Keith Lyons's specialty?

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

Is Keith Lyons enrolled in Medicare?

Yes. Keith Lyons is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Keith Lyons was last updated on July 28, 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.