Provider Demographics
NPI:1538301205
Name:LYONS, JAMIE ANN (MSW, LCSW)
Entity Type:Individual
Prefix:
First Name:JAMIE
Middle Name:ANN
Last Name:LYONS
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:MRS
Other - First Name:JAMIE
Other - Middle Name:ANN
Other - Last Name:VOGT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BSW
Mailing Address - Street 1:427276 HIGHWAY 266
Mailing Address - Street 2:
Mailing Address - City:CHECOTAH
Mailing Address - State:OK
Mailing Address - Zip Code:74426-5153
Mailing Address - Country:US
Mailing Address - Phone:918-237-8827
Mailing Address - Fax:
Practice Address - Street 1:427276 HIGHWAY 266
Practice Address - Street 2:
Practice Address - City:CHECOTAH
Practice Address - State:OK
Practice Address - Zip Code:74426
Practice Address - Country:US
Practice Address - Phone:918-237-8827
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-27
Last Update Date:2018-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker