Individual provider · Type 1 NPI

Lyda Thao, LCSW

Clinical Social Worker · Madison, WI

NPI number 1770101768 Active

Practice location

815 Forward Dr
Madison, WI 53711-2443

Call (608) 268-6530 Map

Fax (608) 709-1744

Mailing address

815 Forward Drive
Madison, WI 53711-2443

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Clinical Social Worker Primary 1041C0700X11193-123 (WI)

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 1770101768

Lyda Thao, LCSW's National Provider Identifier is 1770101768, issued on Jul 7, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Madison, WI. The record was last updated on Feb 4, 2026.