Lydia Catherine Kingsbury
Individual provider Active NPI Social Worker · Vineyard Haven, MA
NPI 1306561279 · NPPES record last updated Oct 4, 2022
Key facts
- NPI
- 1306561279
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 228177 (MA)
- Practice address
- 111 Edgartown Rd
Vineyard Haven, MA 02568-5699 - Phone
- (508) 693-7900
- NPI assigned
- Oct 4, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 228177 | MA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Martha'S Vineyard Community Services, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 228177 | MA | Yes |
Addresses
Primary practice location
111 Edgartown Rd
Vineyard Haven, MA 02568-5699
Mailing address
111 Edgartown Rd
Vineyard Haven, MA 02568-5699
Phone (508) 693-7900
Other providers in Vineyard Haven, MA
- John Curelli
- Saundra Hart Johnson
- Catherine Keller
- Patricia Marie Keohane
- Carolyn Jane Kildegaard
- Alexander Kisselgof
- April Knight
- Kathleen E Koehler
- Fae E Kontje-Gibbs
- Kristine Kopp
All providers in Vineyard Haven, MA · Social Worker in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 4, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.