Individual provider Active NPI

Lydia Bishop, LCSW

  • Clinical Social Worker
  • Woodstock, GA
National Provider Identifier
1225650245
Registry record updated Aug 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW05096 Issued in GA
Practice address
4595 Towne Lake Pkwy Ste 130
Woodstock, GA 30189-5514
Phone
(770) 262-7943
NPI assigned
May 13, 2020
Last updated
Aug 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW05096 GA Primary

Addresses

Primary practice location

4595 Towne Lake Pkwy Ste 130
Woodstock, GA 30189-5514

Mailing address

121 Birchwood Pass
Canton, GA 30114-7752
Phone (770) 262-7943

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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

Enrollment IDStateProvider typePAC IDDetails
I20260619001965 GA Practitioner - Clinical Social Worker 8628541729 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

121 Birchwood Pass
Canton, GA 30114-7752

4424 Todds TRL
Liberty Township, OH 45044-1182

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW05096GAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Journey to Resilience Counseling CurrentSince Dec 17, 2023 Accepting new patients

Locations

4595 Towne Lake Pkwy
Ste 130
Woodstock, GA 30189
Phone (770) 262-7943

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1589328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786147200000",
    "number": "1225650245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 BIRCHWOOD PASS",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301147752",
            "telephone_number": "770-262-7943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4595 TOWNE LAKE PKWY STE 130",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301895514",
            "telephone_number": "770-262-7943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISHOP",
        "first_name": "LYDIA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-13",
        "last_updated": "2026-08-08",
        "certification_date": "2026-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW05096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

Verify at the official NPI Registry.