Healthcare Provider Details

I. General information

NPI: 1568035244
Provider Name (Legal Business Name): LYDIA STRAND
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2021
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

515 3RD AVE
SEATTLE WA
98104-2304
US

IV. Provider business mailing address

409 LOVERS LN
ATHENS TX
75751-2185
US

V. Phone/Fax

Practice location:
  • Phone: 206-681-3935
  • Fax:
Mailing address:
  • Phone: 34-752-2549
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSWI.LW.70086965
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: