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JACQUELINE ANNA LYDSTON
NPI 1346962974
Social Worker - Clinical in Vancouver, WA

Active since September 12, 2022
400 E EVERGREEN BLVD STE 213, VANCOUVER, WA 98660(360) 977-9679 Get Directions Write a Review

NPPES record last updated: September 12, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Jacqueline Anna Lydston NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQUELINE ANNA LYDSTON (NPI 1346962974) is an individual clinical provider in Vancouver, Washington, licensed in Washington (SC61345238) and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1346962974
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJACQUELINE ANNA LYDSTON
Location Address400 E EVERGREEN BLVD STE 213Vancouver, WA 98660-3264
Mailing Address400 E Evergreen Blvd Ste 213Vancouver, WA 98660-3264 · (360) 977-9679
Phone(360) 977-9679
Sole ProprietorYes
Enumeration DateSeptember 12, 2022
NPPES CertifiedSeptember 12, 2022
✔ NPI 1346962974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in WA · SC61345238
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
400 E EVERGREEN BLVD STE 213, Vancouver, WA 98660
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacqueline Lydston's NPI number?

The NPI number for Jacqueline Lydston is 1346962974. It was assigned to this individual provider in the NPPES registry on September 12, 2022.

Where is Jacqueline Lydston located?

Jacqueline Lydston practices at 400 E Evergreen Blvd Ste 213, Vancouver, WA 98660. The listed phone number is (360) 977-9679.

What is Jacqueline Lydston's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Jacqueline Lydston was last updated on September 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.