Lydia Marie Adams, LMSW

Individual provider Active NPI Clinical Social Worker · Brighton, MI

NPI 1669635637 · NPPES record last updated Sep 10, 2015

Key facts

NPI
1669635637
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
6801090428 (MI)
Practice address
324 W Main St
Brighton, MI 48116-1591
Phone
(810) 227-6218
Fax
(810) 227-6982
NPI assigned
Jul 9, 2008
Sex
Female
Sole proprietor
No

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
6801090428MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Livingston County Community Mental Health Authority Past
since Jan 8, 2011
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801090428 MI Yes

Addresses

Primary practice location

324 W Main St
Brighton, MI 48116-1591

Mailing address

324 W Main St
Brighton, MI 48116-1591
Phone (810) 227-6218

Other names

  • Lydia Marie Clemins Former name

Other providers in Brighton, MI

All providers in Brighton, MI · Clinical Social Worker in Michigan

Sources for this page

Verify at the official NPI Registry.