Active NPIIndividual providerSole proprietor

Brianne A Lydon, LICSW

Social Worker, Clinical in Waltham, Massachusetts

NPI Number1770068314
Practice location
169 Elm St, Waltham, MA 02453-5356
Fax
—
Last updated
September 29, 2018

Brianne Aileen Lydon is a Social Worker, Clinical based in Waltham, MA. Brianne Aileen Lydon practices in Waltham, MA and has the professional credentials of LICSW. The NPI Number for Brianne Aileen Lydon is 1770068314 and holds a License No. 119508 (MA). The current practice location address for Brianne Aileen Lydon is 169 Elm St, Waltham, MA 02453-5356 and can be reached out via phone at 781-647-0542.

Provider Profile Details

NPI Number
1770068314
Provider Name
Brianne Aileen Lydon
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
169 Elm St, Waltham, MA 02453-5356
Phone Number
781-647-0542
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
September 29, 2018
Last Update Date
September 29, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
169 Elm St
Waltham, MA 02453-5356
Zip
02453-5356
Phone Number
781-647-0542
Waltham, MA 02453Get directions →

Provider Business Mailing Address Details

Address
2 Parker RD
Shirley, MA 01464-2122
City
Shirley
State
MA
Zip
01464-2122
Phone Number
978-609-7701

License Information

License Number
119508
License State
MA
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Brianne A Lydon, LICSW?

The NPI number of Brianne A Lydon, LICSW is 1770068314. It was assigned on September 29, 2018 and is currently active in the NPPES registry.

What is the specialty of Brianne A Lydon, LICSW?

Brianne A Lydon, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 119508.

Where does Brianne A Lydon, LICSW practice?

The practice location is 169 Elm St, Waltham, MA 02453-5356. The office can be reached at 781-647-0542 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1770068314 directly on the NPPES registry website.

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