LATONYA LIDGE
NPI 1629795315
Counselor - Addiction (Substance Use Disorder) in Jamaica, NY

Active since October 24, 2022
9002 161ST ST, JAMAICA, NY 11432(718) 520-1513(718) 520-6460 Get Directions Write a Review

NPPES record last updated: November 29, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 29, 2022, Oct 24, 2022 (2 updates tracked since 2022).

About Latonya Lidge NPPES

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

LATONYA LIDGE (NPI 1629795315) is an individual addiction (substance use disorder) provider in Jamaica, New York, licensed in New York (33326-T) and active in the NPI registry since October 2022. She maintains a secondary practice location in Kew Gardens.

NPPES Registry Identity

NPI1629795315
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameLATONYA LIDGE
Location Address9002 161ST STJamaica, NY 11432-6108
Mailing Address3412 113th St # 2Corona, NY 11368-1425
Fax(718) 520-6460
Sole ProprietorNo
Enumeration DateOctober 24, 2022
Last NPPES UpdateNovember 29, 20222 updates tracked since enumeration
NPPES CertifiedNovember 29, 2022
NPI 1629795315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in NY · 33326-T
9002 161ST ST, Jamaica, NY 11432

Secondary Practice Location 1

Location 18002 Kew Gardens RdKew Gardens, NY 11415-3600 · Phone (718) 520-1513

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Addiction (Substance Use Disorder))
9002 161ST ST
JAMAICA, NY 11432
Counselor (Addiction (Substance Use Disorder))
9002 161ST ST
JAMAICA, NY 11432
Social Worker
9002 161ST ST
JAMAICA, NY 11432
Clinic/Center (Rehabilitation, Substance Use Disorder)
9002 161ST ST
JAMAICA, NY 11432
Counselor (Addiction (Substance Use Disorder))
9002 161ST ST
JAMAICA, NY 11432
Peer Specialist
9002 161ST ST
JAMAICA, NY 11432
Peer Specialist
9002 161ST ST
JAMAICA, NY 11432
Peer Specialist
9002 161ST ST
JAMAICA, NY 11432

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 Latonya Lidge's NPI number?

The NPI number for Latonya Lidge is 1629795315. It was assigned to this individual provider in the NPPES registry on October 24, 2022.

Where is Latonya Lidge located?

Latonya Lidge practices at 9002 161st St, Jamaica, NY 11432. The listed phone number is (718) 520-1513.

What is Latonya Lidge's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Latonya Lidge was last updated on November 29, 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.