MRS. SHANNON D. LYON LCSW
NPI 1902130123
Social Worker in Tooele, UT

Active since September 21, 2009Opted out of Medicare · through Apr 1, 2027
66 W VINE ST STE B, TOOELE, UT 84074(435) 241-4920 Get Directions Write a Review

NPPES record last updated: November 29, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Shannon D. Lyon Lcsw NPPES

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

MRS. SHANNON D. LYON LCSW (NPI 1902130123) is an individual social worker in Tooele, Utah, licensed in Utah (7047395-3502) and active in the NPI registry since September 2009. She has opted out of Medicare through April 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1902130123
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameMRS. SHANNON D. LYONCredential: LCSW
Location Address66 W VINE ST STE BTooele, UT 84074-2185
Mailing AddressPo Box 435Tooele, UT 84074-0435 · (435) 224-3213
Sole ProprietorYes
Enumeration DateSeptember 21, 2009
Last NPPES UpdateNovember 29, 2021
NPPES CertifiedNovember 29, 2021
NPI 1902130123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License Licensed in UT · 7047395-3502
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
66 W VINE ST STE B, Tooele, UT 84074

Other Names 1

Former Name (1)Mrs. Shannon D. Sagers Msw

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Mrs. Shannon D. Lyon Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2017 through April 1, 2027.

Opt-Out Effective DateApril 1, 2017
Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 Shannon Lyon's NPI number?

The NPI number for Shannon Lyon is 1902130123. It was assigned to this individual provider in the NPPES registry on September 21, 2009. The provider is also known as Mrs. Shannon D. Sagers Msw.

Where is Shannon Lyon located?

Shannon Lyon practices at 66 W Vine St Ste B, Tooele, UT 84074. The listed phone number is (435) 241-4920.

What is Shannon Lyon's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Shannon Lyon enrolled in Medicare?

No. Shannon Lyon has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Shannon Lyon accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah and Select Health list Shannon Lyon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shannon Lyon was last updated on November 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.