Lydia Moore, LCSW-R
Social Worker, Clinical in Cheektowaga, NY. Individual provider (NPI-1).
NPI number1124382452
StatusActive
Last updated in NPPESJul 26, 2024
Details
- NPI
- 1124382452
- Entity type
- Individual (NPI-1)
- Name
- Lydia Moore
- Credential
- LCSW-R
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 2, 2012
- Certification date
- Jul 26, 2024
- Last updated
- Jul 26, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 083066 | NY | Yes |
Other names
- Lydia Coyle (Other Name)
Practice location
337 Cleveland Dr Ste 6Cheektowaga, NY 14215-1952
Phone 716-220-7155
Mailing address
337 Cleveland Dr Ste 6Cheektowaga, NY 14215-1952
Phone 716-220-7155
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All 50 Clinical Social Worker providers in Cheektowaga · All 1,831 providers in Cheektowaga
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