Individual ProviderEllen LyonsSocial WorkerBehavioral Health & Social Service ProvidersPractice Address7701 13th Ave, Brooklyn, NY 11228-2413(917) 841-1531PECOS EnrollmentBased on the most recent information from CMS, provider Ellen Lyons does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1386031557Provider TypeIndividualFull NameLyons, EllenTitleMr.CredentialLMSW,SIFIGenderFemaleSole ProprietorNoEnumeration Date4/24/2015Last Updated4/24/2015Contact InformationPractice LocationPractice Address7701 13th Ave, Brooklyn, NY 11228-2413Phone(917) 841-1531Fax(718) 837-5756Mailing LocationMailing Address7701 13th Ave, Brooklyn, NY 11228-2413Phone(917) 841-1531Fax(718) 837-5756Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense072414New York