Provider Demographics
NPI:1629533195
Name:LYONS, DENISE (MSW)
Entity type:Individual
Prefix:
First Name:DENISE
Middle Name:
Last Name:LYONS
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:DENISE
Other - Middle Name:
Other - Last Name:KUTZLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:5656 S CEDAR ST
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48911-3894
Mailing Address - Country:US
Mailing Address - Phone:269-986-2042
Mailing Address - Fax:
Practice Address - Street 1:5656 S CEDAR ST
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48911-3894
Practice Address - Country:US
Practice Address - Phone:269-986-2041
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-08
Last Update Date:2025-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010934331041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical