Individual provider Active NPI

Lydia Lombardi Good, MSW, LCSW, BCD

  • Clinical Social Worker
  • Vista, CA
National Provider Identifier
1508391608
Registry record updated Apr 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS27399 Issued in CA
Practice address
707 Civic Center Dr
Suite 106
Vista, CA 92084-6160
Phone
(760) 576-5822
NPI assigned
Apr 26, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2017

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 LCS27399 CA Primary

Addresses

Primary practice location

707 Civic Center Dr
Suite 106
Vista, CA 92084-6160

Mailing address

3239 Toopal Dr
Oceanside, CA 92058-7493
Phone (760) 576-5822

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20170804001874 CA Practitioner - Clinical Social Worker 5092086306 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2103 S El Camino Real
Suite 101a
Oceanside, CA 92054-6280
Phone (760) 576-5822

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS27399CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pier View Counseling, a Licensed Clinical Social Worker Corporation Clinical CurrentSince Feb 28, 2015 Accepting new patients

Locations

2103 S El Camino Real
Ste 101A
Oceanside, CA 92054
Phone (760) 576-5822

707 Civic Center Dr
Ste 106
Vista, CA 92084
Phone (760) 576-5822

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1493164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493164800000",
    "number": "1508391608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3239 TOOPAL DR",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920587493",
            "telephone_number": "760-576-5822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 CIVIC CENTER DR",
            "address_2": "SUITE 106",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920846160",
            "telephone_number": "760-576-5822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOOD",
        "first_name": "LYDIA",
        "middle_name": "LOMBARDI",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW, BCD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-26",
        "last_updated": "2017-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS27399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vista, CA

Sources for this page

Verify at the official NPI Registry.