Individual provider · Type 1 NPI

Jacob Bradley Lydick, LLMSW

Clinical Social Worker · Ann Arbor, MI

NPI number 1841123692 Active

Practice location

3300 Washtenaw Ave Ste 260
Ann Arbor, MI 48104-5184

Call (734) 276-5772 Map

Mailing address

1305 S Congress St Apt 211
Ypsilanti, MI 48197-4545

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6851122364 (MI)

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 1841123692

Jacob Bradley Lydick, LLMSW's National Provider Identifier is 1841123692, issued on Jun 3, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Ann Arbor, MI. The record was last updated on Jun 3, 2026.