Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

JACOB BRADLEY LYDICK LLMSW
NPI 1841123692
Social Worker - Clinical in Ann Arbor, MI

Active since June 03, 2026
3300 WASHTENAW AVE STE 260, ANN ARBOR, MI 48104(734) 276-5772 Get Directions Write a Review

NPPES record added: June 3, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jacob Bradley Lydick Llmsw NPPES

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

JACOB BRADLEY LYDICK LLMSW (NPI 1841123692) is an individual clinical provider in Ann Arbor, Michigan, licensed in Michigan (6851122364) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1841123692
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJACOB BRADLEY LYDICKCredential: LLMSW
Location Address3300 WASHTENAW AVE STE 260Ann Arbor, MI 48104-5184
Mailing Address1305 S Congress St Apt 211Ypsilanti, MI 48197-4545
Sole ProprietorYes
Enumeration DateJune 3, 2026
NPPES CertifiedJune 3, 2026
NPI 1841123692 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 MI · 6851122364
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.
3300 WASHTENAW AVE STE 260, Ann Arbor, MI 48104

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 11

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

Social Worker (Clinical)
3300 WASHTENAW AVE STE 260
ANN ARBOR, MI 48104
Social Worker (Clinical)
3300 WASHTENAW AVE STE 260
ANN ARBOR, MI 48104
Social Worker (Clinical)
3300 WASHTENAW AVE STE 260
ANN ARBOR, MI 48104
Social Worker (Clinical)
3300 WASHTENAW AVE STE 260
ANN ARBOR, MI 48104
Social Worker (Clinical)
3300 WASHTENAW AVE STE 260
ANN ARBOR, MI 48104
Social Worker (Clinical)
3300 WASHTENAW AVE STE 260
ANN ARBOR, MI 48104
Social Worker (Clinical)
3300 WASHTENAW AVE STE 260
ANN ARBOR, MI 48104
Social Worker (Clinical)
3300 WASHTENAW AVE STE 260
ANN ARBOR, MI 48104

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 Jacob Lydick's NPI number?

The NPI number for Jacob Lydick is 1841123692. It was assigned to this individual provider in the NPPES registry on June 3, 2026.

Where is Jacob Lydick located?

Jacob Lydick practices at 3300 Washtenaw Ave Ste 260, Ann Arbor, MI 48104. The listed phone number is (734) 276-5772.

What is Jacob Lydick'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 Jacob Lydick was last updated on June 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.