Provider Demographics
NPI:1396636221
Name:RYDZ, LUCY (LCSW)
Entity type:Individual
Prefix:
First Name:LUCY
Middle Name:
Last Name:RYDZ
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 1:19400 TURNBERRY WAY APT 1012
Mailing Address - Street 2:
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-2692
Mailing Address - Country:US
Mailing Address - Phone:786-518-9707
Mailing Address - Fax:
Practice Address - Street 1:19400 TURNBERRY WAY APT 1012
Practice Address - Street 2:
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-2692
Practice Address - Country:US
Practice Address - Phone:786-518-9707
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-10
Last Update Date:2025-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW190761041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical