NICOLE LYONS LCSW
NPI 1730687369
Social Worker - Clinical in Madison, WI

Q: What is Nicole Lyons's NPI number?

The NPI number for Nicole Lyons is 1730687369. It was assigned to this individual provider in the NPPES registry on January 29, 2018.

Q: What is Nicole Lyons'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 Nicole Lyons was last updated on May 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since January 29, 2018PECOS Enrolled

6502 GRAND TETON PLZ STE 102, MADISON, WI 53719(608) 827-7220(608) 827-7223 Get Directions Write a Review

NPPES record last updated: May 10, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Nicole Lyons Lcsw NPPES

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

NICOLE LYONS LCSW (NPI 1730687369) is an individual clinical provider in Madison, Wisconsin, licensed in Wisconsin (9155-123) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Mc Farland.

NPPES Registry Identity

NPI1730687369

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameNICOLE LYONSCredential: LCSW

Location Address6502 GRAND TETON PLZ STE 102Madison, WI 53719-1047

Mailing Address6502 Grand Teton Plz Ste 102Madison, WI 53719-1047 · (608) 827-7220 · Fax (608) 827-7223

Phone(608) 827-7220

Fax(608) 827-7223

Sole ProprietorYes

Enumeration DateJanuary 29, 2018

Last NPPES UpdateMay 10, 2021

NPPES CertifiedNovember 24, 2020

✔ NPI 1730687369 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 WI · 9155-123

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.

6502 GRAND TETON PLZ STE 102, Madison, WI 53719

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Secondary Practice Location 1

Location 15979 Siggelkow RdMc Farland, WI 53558-9817 · Phone (608) 838-8999

Other Identifiers 1

Other130635WI · Dsps

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Dean Health Plan, Group Health Cooperative-SCW 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 (PECOS)

Nicole Lyons 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.

Medicare Billing Reassignment

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

Open Door Center For Change LLC

Same address

Mental Health (Including Community Mental Health Center)

6502 GRAND TETON PLZ STE 102
Madison, WI 53719

Reassigned Medicare billing, Wisconsin enrollment
19 clinicians in this Medicare group

NPI 1215068069 (608) 827-7220

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 53719 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 $53.90 – $163.24

Typical copayment $0.00 (range $13.47 – $40.81)

Most-billed visit code NA

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

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 13

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

ANDREW HARTKE POWELL LCSW

Social Worker (Clinical)