Provider Demographics
NPI:1164713137
Name:OGDEN, LYDIA P (LCSW)
Entity Type:Individual
Prefix:
First Name:LYDIA
Middle Name:P
Last Name:OGDEN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:245 E 93RD ST
Mailing Address - Street 2:APT 23C
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-3966
Mailing Address - Country:US
Mailing Address - Phone:917-656-8764
Mailing Address - Fax:
Practice Address - Street 1:3175 EAST TREAMONT AVENUE,
Practice Address - Street 2:2/F ABILITY BUILDERS FOR CHILDREN
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-5700
Practice Address - Country:US
Practice Address - Phone:718-239-8239
Practice Address - Fax:718-679-9726
Is Sole Proprietor?:No
Enumeration Date:2011-04-26
Last Update Date:2011-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0772421041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical