Individual provider Active NPI

Lydia Ady, LISW

  • Clinical Social Worker
  • Mansfield, OH
National Provider Identifier
1770154544
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2506356 Issued in OH
Practice address
600 W 3Rd St
Mansfield, OH 44906-2633
Phone
(419) 522-6191
NPI assigned
Jul 2, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I.2506356 OH Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X CDCA.175608 OH
Social Worker 104100000X S.2106413 OH

Addresses

Primary practice location

600 W 3Rd St
Mansfield, OH 44906-2633

Mailing address

1404 Park Ave W Ste 2
Ontario, OH 44906-2719

Other practice location 1

2775 State Route 39
Shelby, OH 44875-9466
Phone (419) 747-3322

Other names 1

  • Lydia Ady Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250318001570 OH Practitioner - Clinical Social Worker 4688196835 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CDCA.175608OHMDAddiction (Substance Use Disorder) Counselor
S.2106413OHMDSocial Worker
I.2506356OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Third Street Community Clinic, Inc. CurrentSince Feb 27, 2025 Accepting new patients
Third Street Community Clinic Inc CurrentSince Feb 27, 2025 Accepting new patients
Third Street Community Clinic, Inc CurrentSince Feb 27, 2025 Accepting new patients
Cornell Abraxas Group, LLC PastSince Jul 1, 2021 Accepting new patients

Locations

2458 Stetzer Rd
Bucyrus, OH 44820
Phone (419) 562-2000

205 W Cook Rd
Mansfield, OH 44907
Phone (567) 309-7333

320 Executive Dr
Marion, OH 43302
Phone (740) 387-5210

1404 Park Ave W
Ste 2
Ontario, OH 44906

600 W 3rd St
Ontario, OH 44906
Phone (419) 525-6722

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1625184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769644800000",
    "number": "1770154544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1404 PARK AVE W STE 2",
            "city": "ONTARIO",
            "state": "OH",
            "postal_code": "449062719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W 3RD ST",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449062633",
            "telephone_number": "419-522-6191"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2775 State Route 39",
            "address_purpose": "LOCATION",
            "city": "Shelby",
            "state": "OH",
            "postal_code": "448759466",
            "country_code": "US",
            "telephone_number": "419-747-3322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADY",
        "first_name": "LYDIA",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-02",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2506356",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.175608",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.2106413",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYDIA",
            "last_name": "ADY",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Mansfield, OH

Sources for this page

Verify at the official NPI Registry.