Lydia Anne Smith, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

077290-01 Issued in NY

Practice address

1 Chrisfield Ave Ste 103
Johnson City, NY 13790-2700

Phone

(607) 237-1042

NPI assigned

Dec 11, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Clinical Social Worker

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Broome County

  • Skilled Nursing Facility
  • Vestal, NY
  • NPI 1750477923
  NPD (past)
• Broome County Mental Health Department

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Binghamton, NY
  • NPI 1629094065
  NPD (past)
• Star Optometry Al, LLC

  • Optometrist
  • Athens, AL
  • NPI 1528841954
  NPD (past)

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1649330481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 PARK AVENUE",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "13903",
            "telephone_number": "607-724-4840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CHRISFIELD AVE STE 103",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137902700",
            "telephone_number": "607-237-1042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LYDIA",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "077290-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Small Wonders Early Intervention Services, Inc.
• Peggy Ann Smith Rood, LMT
• Aubrin Smith
• Gregory Scott Smith, LMSW
• Joyce M Smith, RPH
• Ryan Smith, PT, DPT
• Christine Snyder, P.A.
• Marianne Soden, D.O.
• Rosa Solis, MD
• Patrisha Ruetna Solomon, OTR

• Clinical Social Worker in Johnson City, NY
• Providers in Johnson City, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.