Margaret Ray Lidstrom in Virginia Beach - Clinical

Margaret Ray Lidstrom - NPI 1053351387

Margaret Ray Lidstrom is a Clinical in Virginia Beach, Virginia. Margaret Ray Lidstrom practices all healthcare services and medical treatments related to Clinical. The NPI Number for Margaret Ray Lidstrom is 1053351387. The last update date is 2016-12-09.

Margaret Ray Lidstrom's current location address is 2940 N Lynnhaven Rd, Virginia Beach, Virginia. You can contact this provider via phone number 7576369187 and fax number 8887859387. The mailing address for Margaret Ray Lidstrom is 2940 N Lynnhaven Rd, Virginia Beach, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Name Margaret Ray Lidstrom
Address 2940 N Lynnhaven Rd, Virginia Beach, Virginia
Phone Number 7576369187
Fax Number 8887859387
Sole Proprietor N
Credentials LCSW

NPI Number Detail

NPI Number 1053351387
Provider Enumeration Date 2006-06-07
Last Updated Date 2016-12-09

Provider Mailing Address Detail

Address 2940 N Lynnhaven Rd
City Virginia Beach
State Virginia (VA)
Post Code 234526949
Phone Number 7576369187
Fax Number 8887859387

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 904000638
Definition:
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
O84350 VA OPTIMA HEALTH CARE
8928096 VA --
140254 VA ANTHEM BCBS

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FAQs about Margaret Ray Lidstrom

What is the unique 10-digit identification code issued to Margaret Ray Lidstrom by the Centers for Medicare & Medicaid Services?

The Margaret Ray Lidstrom has been assigned the NPI (National Provider Identifier) 1053351387 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete address where Margaret Ray Lidstrom is physically located?

The Margaret Ray Lidstrom is situated at the following address: 2940 N Lynnhaven Rd, Virginia Beach, VA 234526949.

What is Margaret Ray Lidstrom's area of expertise and its corresponding taxonomy classification?

The Margaret Ray Lidstrom's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.

On what date did the Margaret Ray Lidstrom receive its 1053351387 assignment from the Centers for Medicare & Medicaid Services?

The Margaret Ray Lidstrom was assigned its 1053351387 by the Centers for Medicare & Medicaid Services on 2006-06-07.

As of what date was the information regarding Margaret Ray Lidstrom, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Margaret Ray Lidstrom, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2016-12-09.

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