Provider Demographics
NPI:1154567113
Name:FRANSEN, LYDIA LEIGH (LCSWA)
Entity type:Individual
Prefix:
First Name:LYDIA
Middle Name:LEIGH
Last Name:FRANSEN
Suffix:
Gender:F
Credentials:LCSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15524 COUNTRY LAKE DR
Mailing Address - Street 2:
Mailing Address - City:PINEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28134-6459
Mailing Address - Country:US
Mailing Address - Phone:803-389-9700
Mailing Address - Fax:
Practice Address - Street 1:15524 COUNTRY LAKE DR
Practice Address - Street 2:
Practice Address - City:PINEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28134-6459
Practice Address - Country:US
Practice Address - Phone:803-389-9700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-12-22
Last Update Date:2022-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCLMW-0039176B00000X
NCP0179991041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No176B00000XOther Service ProvidersMidwife