Lydia Bailey, LCSW
Individual provider Active NPI Clinical Social Worker · Corsicana, TX
NPI 1679088561 · NPPES record last updated Mar 17, 2018
Key facts
- NPI
- 1679088561
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 57964 (TX)
- Practice address
- 120 E 2ND Ave
Corsicana, TX 75110-3115 - Phone
- (903) 872-3772
- NPI assigned
- Dec 13, 2017
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57964 | TX | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 57964 | TX | Yes |
Addresses
Primary practice location
120 E 2ND Ave
Corsicana, TX 75110-3115
Mailing address
400 N Fulton St
Rice, TX 75155-2503
Phone (903) 654-2487
Other practice location 1
400 N Fulton St
Rice, TX 75155-2503
Phone (903) 654-2487
Other providers in Corsicana, TX
- Jessica Armstrong
- Jon Daniel Arzadon
- Kelsey Austin-Wright
- Kendall Bailes
- Kayla Bailey
- Theodore M Banach
- Susan P Barker
- Jason Melvin Barlow
- Garrett Rodney Barnett
- BCM Innovative Therapies
All providers in Corsicana, TX · Clinical Social Worker in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.