Provider Demographics
NPI:1821341686
Name:LYONS, ROSEMARIE (LCSW)
Entity Type:Individual
Prefix:
First Name:ROSEMARIE
Middle Name:
Last Name:LYONS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1761 W HILLSBORO BLVD STE 202
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33442-1561
Mailing Address - Country:US
Mailing Address - Phone:954-234-3557
Mailing Address - Fax:954-531-6931
Practice Address - Street 1:1761 W HILLSBORO BLVD STE 202
Practice Address - Street 2:
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33442-1561
Practice Address - Country:US
Practice Address - Phone:954-234-3557
Practice Address - Fax:954-531-6931
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-18
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW103151041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical