Female

Lydia P. Scruggs LCSW

Clinical Social Worker in Shelby, NC(View on Map)

Full Name

Lydia Perrin Scruggs LCSW

NPI Number

1265489363

NPI Type

Individual Provider

Gender

Female

Enumeration Date

05/27/2006

Specialties

(Taxonomies)

Code

1041C0700X

Primary Taxonomy

Yes

Licenses

State

North Carolina

License Number

C004380

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 2465
927 S LAFAYETTE ST

City

Shelby
Shelby

State

NC
NC

Postal Code

28151-2465
28152-5851

Country

US
US

Telephone Number

(704) 481-8626
(704) 481-8626

Identifiers

Identifier

D2624
474794000
133R4
6002598

Identifier State

NC
NC
NC
NC

Identifier Issuer

INDIV. MEDCOST NUMBER
INDIV. MAGELLAN NUMBER
INDIV. BCBS NUMBER
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 10/29/2009

Provider Address

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