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PEGGY LIDSTROM LCSW
NPI 1861942237
Social Worker - Clinical in Virginia Beach, VA

Active since October 10, 2016
2940 N LYNNHAVEN RD STE 130, VIRGINIA BEACH, VA 23452(757) 636-9187(888) 785-9387 Get Directions Write a Review

NPPES record last updated: November 14, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 14, 2016, Oct 10, 2016 (2 updates tracked since 2016).

About Peggy Lidstrom Lcsw NPPES

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

PEGGY LIDSTROM LCSW (NPI 1861942237) is a healthcare organization registered as a clinical in Virginia Beach, Virginia and active in the NPI registry since October 2016. The organization lists Margaret Ray Lidstrom, Manager, as its authorized official.

NPPES Registry Identity

NPI1861942237
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameSUBSTANCE ABUSE PROFESSIONALS OF TIDEWATER
Location Address2940 N LYNNHAVEN RD STE 130Virginia Beach, VA 23452-6949
Mailing Address2940 N Lynnhaven Rd Ste 130Virginia Beach, VA 23452-6949 · (757) 636-9187 · Fax (888) 785-9387
Phone(757) 636-9187
Fax(888) 785-9387
Organization SubpartNo
Authorized OfficialMargaret Ray LidstromManager · (757) 636-9187
Enumeration DateOctober 10, 2016
Last NPPES UpdateNovember 14, 20162 updates tracked since enumeration
✔ NPI 1861942237 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 VA · 0904000638
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.
2940 N LYNNHAVEN RD STE 130, Virginia Beach, VA 23452
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Other Names 1

Doing Business AsPeggy Lidstrom Lcsw

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

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 Substance Abuse Professionals Of Tidewater's NPI number?

The NPI number for Substance Abuse Professionals Of Tidewater is 1861942237. It was assigned to this organization in the NPPES registry on October 10, 2016. The provider is doing business as Peggy Lidstrom Lcsw.

Where is Substance Abuse Professionals Of Tidewater located?

Substance Abuse Professionals Of Tidewater is located at 2940 N Lynnhaven Rd Ste 130, Virginia Beach, VA 23452. The listed phone number is (757) 636-9187.

What is Substance Abuse Professionals Of Tidewater'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 Substance Abuse Professionals Of Tidewater was last updated on November 14, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.