National Provider Identifier
Lydia Moore, LCSW-R
Lydia Moore, LCSW-R is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Cheektowaga, NY and a listed phone number of (716) 220-7155.
Profile Overview
- NPI
- 1124382452
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- July 02, 2012
- Last Updated
- July 26, 2024
Practice Location
- 337 Cleveland Dr Ste 6
- Cheektowaga, NY 14215-1952
Phone: (716) 220-7155
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1124382452
- Entity Type
- Individual
- Last Name
- Moore
- First Name
- Lydia
- Credential
- LCSW-R
- Provider Other Last Name
- Coyle
- Provider Other First Name
- Lydia
- Provider Other Credential Text
- LCSW-R
- Provider Other Last Name Type Code
- 5
- Mailing Street Address
- 337 Cleveland Dr Ste 6
- Mailing City
- Cheektowaga
- Mailing State
- NY
- Mailing ZIP Code
- 14215-1952
- Mailing Country
- US
- Mailing Phone
- (716) 220-7155
- Practice Street Address
- 337 Cleveland Dr Ste 6
- Practice City
- Cheektowaga
- Practice State
- NY
- Practice ZIP Code
- 14215-1952
- Practice Country
- US
- Practice Phone
- (716) 220-7155
- Enumeration Date
- July 02, 2012
- Last Updated
- July 26, 2024
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- July 26, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)