Santiago, Lydia
Santiago, Lydia is an sole proprietor health care provider with primary practice located at 9199 Reisterstown Rd , Owings Mills MD 21117-4520. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Santiago, Lydia can be contacted via phone (443) 743-9687.Contact Information
Primary practice address
9199 Reisterstown Rd
Owings Mills MD 21117-4520
Phone: (443) 743-9687
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | AC0673 | Maryland |
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 23745 | Maryland |
Profile Details
| NPI number | 1104193267 |
|---|---|
| LBN Legal business name | Santiago, Lydia |
| Credentials | LCSW-C, CAC-AD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 17th, 2011 |
| Last updated | Oct 16th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104193267 | NPPES |
| Maryland | MEDICAID | 383841200 |
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