Individual provider Active NPI

Lydia J Smith, LCSW

  • Clinical Social Worker
  • Harrisonburg, VA
National Provider Identifier
1437416385
Registry record updated Aug 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904007906 Issued in VA
Practice address
463 E Washington St
Harrisonburg, VA 22802-4853
Phone
(540) 434-1941
NPI assigned
Apr 17, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2020

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 0904007906 VA Primary

Addresses

Primary practice location

463 E Washington St
Harrisonburg, VA 22802-4853

Mailing address

4 S Main St
Chatham, VA 24531-5436
Phone (434) 432-4443

Other practice location 1

463 E Washington St
Harrisonburg, VA 22802-4853
Phone (540) 434-1941

Other practice location 2

4 S Main St
Chatham, VA 24531-5436
Phone (434) 432-4443

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150126001746 VA Practitioner - Clinical Social Worker 7911221734 Reassigns benefits to 2 organizations
Practice locations: Danville, VA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Harrisonburg-Rockingham Community Services Board CurrentSince Aug 15, 2020 Accepting new patients
Piedmont Access to Health Services Inc CurrentSince Oct 1, 2015 Accepting new patients
Piedmont Access to Health Services, Inc CurrentSince Oct 1, 2015 Accepting new patients
Piedmont Access to Health Services, Inc Current Accepting new patients
Harrisonburg Rockingham Community Services Board PastSince Aug 23, 2020 Accepting new patients

Locations

4 S Main St
Chatham, VA 24531
Phone (434) 432-4443

705 Main St
Danville, VA 24541
Phone (434) 791-4122

463 E Washington St
Harrisonburg, VA 22802
Phone (540) 433-3100

1241 N Main St
Harrisonburg, VA 22802
Phone (540) 434-1941

287 Commonwealth Blvd W
Martinsville, VA 24112
Phone (276) 632-2966

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1334620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597622400000",
    "number": "1437416385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 S MAIN ST",
            "city": "CHATHAM",
            "state": "VA",
            "postal_code": "245315436",
            "telephone_number": "434-432-4443",
            "fax_number": "434-432-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "463 E WASHINGTON ST",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228024853",
            "telephone_number": "540-434-1941"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "463 E Washington St",
            "address_purpose": "LOCATION",
            "city": "Harrisonburg",
            "state": "VA",
            "postal_code": "228024853",
            "country_code": "US",
            "telephone_number": "540-434-1941",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4 S Main St",
            "address_purpose": "LOCATION",
            "city": "Chatham",
            "state": "VA",
            "postal_code": "245315436",
            "country_code": "US",
            "telephone_number": "434-432-4443",
            "fax_number": "434-432-3555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LYDIA",
        "middle_name": "J",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-17",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904007906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisonburg, VA

Sources for this page

Verify at the official NPI Registry.