Individual provider Active NPI

Carol B. Lydy, L.P.C.C., L.S.W.

  • Social Worker
  • Toledo, OH
National Provider Identifier
1548489891
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
S 0007174 Issued in OH
Practice address
5151 Monroe St
#200
Toledo, OH 43623-3462
Phone
(419) 475-4449
Fax
(419) 479-3832
NPI assigned
Apr 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X E 0004115 OH
Social Worker 104100000X S 0007174 OH Primary

Addresses

Primary practice location

5151 Monroe St
#200
Toledo, OH 43623-3462

Mailing address

5151 Monroe St
#200
Toledo, OH 43623-3462
Phone (419) 475-4449

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
E 0004115OHMDProfessional Counselor
S 0007174OHMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1548489891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5151 MONROE ST",
            "address_2": "#200",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436233462",
            "telephone_number": "419-475-4449",
            "fax_number": "419-479-3832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 MONROE ST",
            "address_2": "#200",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436233462",
            "telephone_number": "419-475-4449",
            "fax_number": "419-479-3832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYDY",
        "first_name": "CAROL",
        "middle_name": "B.",
        "credential": "L.P.C.C., L.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-25",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E 0004115",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S 0007174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.