Individual provider Active NPI

Fay Howell Lidji, LCSW

  • Clinical Social Worker
  • Dallas, TX
National Provider Identifier
1942545819
Registry record updated Dec 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
31223 Issued in TX
Practice address
5600 W Lovers LN
317
Dallas, TX 75209-4330
Phone
(214) 358-8918
Fax
(330) 653-3507
NPI assigned
Dec 4, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 31223 TX Primary

Addresses

Primary practice location

5600 W Lovers LN
317
Dallas, TX 75209-4330

Mailing address

5600 W Lovers LN
317
Dallas, TX 75209-4330
Phone (214) 358-8918

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
31223TXMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1354579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354579200000",
    "number": "1942545819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 W LOVERS LN",
            "address_2": "317",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752094330",
            "telephone_number": "214-358-8918",
            "fax_number": "330-653-3507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 W LOVERS LN",
            "address_2": "317",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752094330",
            "telephone_number": "214-358-8918",
            "fax_number": "330-653-3507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIDJI",
        "first_name": "FAY",
        "middle_name": "HOWELL",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-04",
        "last_updated": "2012-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "31223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.