| Provider / Organization | NPI | Date Certified |
|---|---|---|
| VICTORIA JANE LYDON | 1891324968 | 2024-01-06 |
Victoria Jane Lydon is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1891324968. Registration indicates Victoria Jane Lydon is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Social Worker (Behavioral Health & Social Service Providers, Social Worker) (Social Worker: Clinical, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Social Worker Clinical, Behavioral Health & Social Service Providers) (Social Worker, )
| Entity Type | Individual |
| Provider Name | Victoria Jane Lydon MSW, LCSW |
| Practice Office Address | 433 W END BLVD WINSTON SALEM, NC US |
| Practice Office Telephone | 3369796070 |
| Mailing Address | 2084 CRAIG ST WINSTON SALEM, NC 271032613 US |
| Business Telephone | 3369796070 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 163 Stratford Ct Ste 170 | Winston Salem, NC 271031833 | 3368314051 |
| Code | Practice | License No State |
|---|---|---|
| 1041C0700X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Social Worker Behavioral Health & Social Service Providers Social Worker Social Worker: Clinical Behavioral Health/Substance Abuse/Psychiatry Social Worker Clinical Behavioral Health & Social Service Providers Social Worker | C016342
NC |