Margaret Ray Lidstrom, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904000638 Issued in VA

Practice address

2940 N Lynnhaven Rd
Suite 130
Virginia Beach, VA 23452-6949

Phone

(757) 636-9187

Fax

(888) 785-9387

NPI assigned

Jun 7, 2006

Last updated

Dec 9, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Norfolk Psychiactric Associates PCGroup PAC ID 7618907551, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Norfolk Psychiactric Associates PC

  • Specialist
  • Norfolk, VA
  • NPI 1922198100
  Medicare reassignment Care Compare group NPD
• Michael S. Weissman, PH.D.,LTD

  dba Churchland Psychological Center

  • Marriage & Family Therapist
  • Chesapeake, VA
  • NPI 1770677288

  Clinical

  Medicare reassignment NPD
• Substance Abuse Professionals of Tidewater

  dba Peggy Lidstrom LCSW

  • Clinical Social Worker
  • Virginia Beach, VA
  • NPI 1861942237
  Authorized official Same address or phone
• Psychotherapy Resources of Norfolk LTD

  • Clinical Social Worker
  • Norfolk, VA
  • NPI 1316947328
  NPD (past)
• TMS Neurohealth Centers Virginia Beach, LLC

  • Psychiatry Physician
  • Virginia Beach, VA
  • NPI 1376930685
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481241600000",
    "number": "1053351387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2940 N LYNNHAVEN RD",
            "address_2": "SUITE 130",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234526949",
            "telephone_number": "757-636-9187",
            "fax_number": "888-785-9387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2940 N LYNNHAVEN RD",
            "address_2": "SUITE 130",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234526949",
            "telephone_number": "757-636-9187",
            "fax_number": "888-785-9387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIDSTROM",
        "first_name": "MARGARET",
        "middle_name": "RAY",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2016-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904000638",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA HEALTH CARE",
            "identifier": "O84350",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008928096",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "140254",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Licensed Behavior Analysis
• Mark R Lichtenstein, PA
• Abby Lee Lichty
• Heidi Lano Licudan
• Lider Counseling, LLC
• Emily White Lieb, MD
• Liebell Chiropractic Inc. (The Liebell Clinic of Specific Chiropractic)
• Breiten Mark Liebell, DC
• Donald Kenneth Liebell, D.C.
• Linda J Liebold, P.A.

• Clinical Social Worker in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.