Jennifer Lydon, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

117562 Issued in MA

Practice address

1000 Albion Road
Bedford, MA 01730-0173

Phone

(617) 610-5303

NPI assigned

Sep 19, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1537315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537315200000",
    "number": "1962986695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 ALBION RD",
            "city": "BEDFORD",
            "state": "MA",
            "postal_code": "017301477",
            "telephone_number": "617-610-5303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 ALBION ROAD",
            "city": "BEDFORD",
            "state": "MA",
            "postal_code": "017300173",
            "telephone_number": "617-610-5303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYDON",
        "first_name": "JENNIFER",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-19",
        "last_updated": "2018-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "117562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mario M Lopez, MD, PHD
• Carol Ann Lorente, DMD
• Bruce W. Lowney, M.D.
• Valerie C Lutkevich
• Sreyneang Ly
• Maureen Heather Macgregor, MS, OTR/L
• Lea Macheras
• Melinda Macht-Greenberg, PHD
• Megan G Mackay, LICSW
• Christopher Charles Mackowiak, PHD

• Clinical Social Worker in Bedford, MA
• Providers in Bedford, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2018; 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.