Provider Demographics
NPI:1437692191
Name:NASCIMENTO, LIDIA (LCSW)
Entity Type:Individual
Prefix:
First Name:LIDIA
Middle Name:
Last Name:NASCIMENTO
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 1:175 E 62ND ST APT 18B
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-7690
Mailing Address - Country:US
Mailing Address - Phone:914-505-0272
Mailing Address - Fax:
Practice Address - Street 1:105 E 38TH ST
Practice Address - Street 2:6B
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-2637
Practice Address - Country:US
Practice Address - Phone:914-505-0272
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-11-29
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0897051041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical