MEDICARE: LYDIA ATKINSON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	0904015950	VA

General Provider Information

NPI Number	:	1609658210
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LYDIA ATKINSON

Provider Business Mailing Address
First Line	:	6954 FOREST HILL AVE
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23225-1656
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6954 FOREST HILL AVE
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23225-1656
Country	:	US
Telephone Number	:	434-547-3223
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/18/2023
Last Update Date	:	03/17/2026

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Directions to “ LYDIA ATKINSON ” Practice Location

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