Individual provider · Type 1 NPI

Robert Josh Lydon

Clinical Social Worker · Roseburg, OR

NPI number 1407137235 Active

Practice location

272 NW Medical Loop Ste E
Roseburg, OR 97471-5545

Fax (888) 810-2993

Specialties and licenses

Taxonomy	Code	License
Mental Health Counselor	101YM0800X	None listed
Clinical Social Worker Primary	1041C0700X	L7631 (OR)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1407137235

Robert Josh Lydon's National Provider Identifier is 1407137235, issued on Sep 7, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Roseburg, OR. The record was last updated on Jun 13, 2019.