MRS. LYDIA M. STATEN LCSW
NPI 1679788616
Counselor - Mental Health in Jackson, MS

Q: What is Lydia Staten's NPI number?

The NPI number for Lydia Staten is 1679788616. It was assigned to this individual provider in the NPPES registry on May 12, 2007. The provider is also known as Mrs. Lydia Eleanor Millwood Lcsw.

Q: What is Lydia Staten's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Lydia Staten was last updated on May 25, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since May 12, 2007

1225 N WEST ST, JACKSON, MS 39202(601) 540-7105 Get Directions Write a Review

NPPES record last updated: May 25, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mrs. Lydia M. Staten Lcsw NPPES

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

MRS. LYDIA M. STATEN LCSW (NPI 1679788616) is an individual mental health provider in Jackson, Mississippi, licensed in Mississippi (C0715) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1679788616

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMRS. LYDIA M. STATENCredential: LCSW

Location Address1225 N WEST STJackson, MS 39202-2056

Mailing Address1820 Highway 80 WestJackson, MS 39204-2056 · (601) 540-7105

Phone(601) 540-7105

Sole ProprietorYes

Enumeration DateMay 12, 2007

Last NPPES UpdateMay 25, 2012

✔ NPI 1679788616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in MS · C0715

1225 N WEST ST, Jackson, MS 39202

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Other Names 1

Former Name (1)Mrs. Lydia Eleanor Millwood Lcsw

Other Identifiers 1

Medicaid00120550MS

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 Lydia Staten's NPI number?

The NPI number for Lydia Staten is 1679788616. It was assigned to this individual provider in the NPPES registry on May 12, 2007. The provider is also known as Mrs. Lydia Eleanor Millwood Lcsw.

Where is Lydia Staten located?

Lydia Staten practices at 1225 N West St, Jackson, MS 39202. The listed phone number is (601) 540-7105.

What is Lydia Staten's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Lydia Staten was last updated on May 25, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.