Lydia Rose Izzell
Individual provider Active NPI Clinical Social Worker · Cullowhee, NC
NPI 1720838014 · NPPES record last updated Mar 27, 2024
Key facts
- NPI
- 1720838014
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Practice address
- 1 University Dr
Cullowhee, NC 28723-9646 - Phone
- (493) 382-8227
- NPI assigned
- Mar 27, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Yes |
Addresses
Primary practice location
1 University Dr
Cullowhee, NC 28723-9646
Mailing address
310 Tiffany Cir
Garner, NC 27529-4329
Other providers in Cullowhee, NC
- Kristy Fox Hopkins
- Griffin Hulkower
- Christi Garrett Hunt
- Sydney Hutchins
- Caroline Elisabeth Inman
- Emily T Jenkins
- Noah K Johnson
- Timothy Lynn Johnston
- Jake Thomas Justice
- Kate Maureen Kelleher
All providers in Cullowhee, NC · Clinical Social Worker in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 27, 2024. 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.