ED DAVIS LYLES (NPI# 1265655427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265655427 |
| Entity Type | Individual |
| Full Name | ED DAVIS LYLES |
| Credential | LCSW |
| Practice Address |
350 City View Dr #302 Evanston WY 82930-5327 |
| Practice Telephone | 3077897915 |
| Practice Fax Number | 3077896009 |
| Mailing Telephone | 3077897915 |
| Mailing Fax Number | 3077896009 |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCSW-408 | WY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | BCBS OF WYOMING | 313191 | 01 |
| Street Address |
350 CITY VIEW DR #302 |
| City | EVANSTON |
| State | WY |
| Zip Code | 82930-5327 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043328719 | County of Uinta | Public Health or Welfare | 350 City View Dr, Ste 101, Evanston, WY 82930-5327 | 2006-08-25 |
| 1306273263 | Andrea Michelle Smith | Community Health Worker | 350 City View Dr, Suite 302, Evanston, WY 82930-5307 | 2013-10-08 |
| 1184062168 | Tammy Maestas | Community Health Worker | 350 City View Dr, Suite 302, Evanston, WY 82930-5327 | 2013-06-12 |
| 1710225461 | Karrie Lee Nielsen | Community Health Worker | 350 City View Dr, Suite 302, Evanston, WY 82930-5327 | 2013-01-30 |
| 1124364385 | Liana Kaye Rasmussen | Social Worker | 350 City View Dr, Suite 302, Evanston, WY 82930-5327 | 2012-12-17 |
| 1114286580 | Lisa Kay Faulkner | Community Health Worker | 350 City View Dr, Suite 302, Evanston, WY 82930-5327 | 2012-05-04 |
| 1881960854 | Lisa Faulkner | Community Health Worker | 350 City View Dr, Suite 302, Evanston, WY 82930-5327 | 2012-03-23 |
| 1184909665 | Stephen Jared Hardman | Counselor | 350 City View Dr, Suite # 302, Evanston, WY 82930-5327 | 2011-10-17 |
| 1013297415 | Katherine Walworth | Community Health Worker | 350 City View Dr, Suite # 302, Evanston, WY 82930-5327 | 2011-08-17 |
| 1679852073 | Jennifer Dunning | Community Health Worker | 350 City View Dr, Suite #302, Evanston, WY 82930-5327 | 2011-08-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598398935 | Colby Kim Gomez | Physical Therapist | 190 Arrowhead Dr, Evanston, Wy 82930, Evanston, WY 82930 | 2020-02-13 |
| 1164808382 | Marilyn Carol Edgeworth Tacoma | Registered Nurse | 1037 Morse Lee St, Evanston, WY 82930 | 2015-08-11 |
| 1699159723 | Impact Physical Therapy LLC | Clinic/Center | 96 Yellow Creek Road, Evanston, WY 82930 | 2015-07-18 |
| 1578942421 | Mark Carstensen | Case Manager/Care Coordinator | 219 7th Street, Evanston, WY 82930 | 2015-05-26 |
| 1013396241 | Jennifer Carstensen | Case Manager/Care Coordinator | 325 Arrowhead Drive, Evanston, WY 82930 | 2015-05-20 |
| 1780083782 | Christa Lena Barker | Nurse Practitioner | 191 Overthrust Road, Evanston, WY 82930 | 2014-08-15 |
| 1366865339 | Don Mckay Francom | Dentist | 170 Arrowhead Dr. Suite 1, Evanston, WY 82930 | 2014-01-28 |
| 1417228370 | Premier Surgical Center, LLC | Clinic/Center | 195 Overthrust Road, Evanston, WY 82930 | 2012-01-24 |
| 1588959324 | Mejia D Williams | Social Worker | 190 Overthrust Road, Evanston, WY 82930 | 2011-06-09 |
| 1225327000 | Richard Jay Capener | Family Medicine | 196 Arrowhead Dr Ste 1, Evanston, WY 82930 | 2011-04-01 |
| Find all providers in zip 82930 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588276406 | Meredith S Alger | Social Worker | 1815 Seward St, Evanston, IL 60202-1905 | 2020-08-21 |
| 1568090678 | Ashley Ice | Social Worker | 200 Ridge Ave Apt 1c, Evanston, IL 60202-3855 | 2020-04-01 |
| 1801420971 | Solidarity Therapy Services LLC | Social Worker | 733 Dobson St Apt 2s, Evanston, IL 60202-3977 | 2020-02-27 |
| 1649804188 | Singlepoint Psychotherapy | Social Worker | 1234 Sherman Ave Ste 109, Evanston, IL 60202-1375 | 2020-02-24 |
| 1215571658 | Wendy Kopald | Social Worker | 1740 Ridge Ave Ste 200-c, Evanston, IL 60201-5918 | 2019-10-29 |
| 1477104396 | Eleanor Pierson | Social Worker | 1865 Sherman Ave, Evanston, IL 60201-3714 | 2019-09-23 |
| 1043860125 | Adrienne Groff | Social Worker | 2309 Forestview Rd, Evanston, IL 60201-2011 | 2019-09-19 |
| 1992351712 | Christine Sofia Leone | Social Worker | 235 Custer Ave Apt 2s, Evanston, IL 60202-3597 | 2019-08-16 |
| 1780237669 | Suzanne Nicole Hawley | Social Worker | 1617 South Blvd, Evanston, IL 60202-2745 | 2019-07-19 |
| 1124587449 | Julie Noparstak | Social Worker | 990 Grove St Ste 401, Evanston, IL 60201-4370 | 2019-03-16 |
| Find all providers in EVANSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.