Lydie Helene Gnacadja, LICSW is a
Social Worker - Clinical based in Providence, Rhode Island. Lydie Helene Gnacadja is licensed to practice in Rhode Island (license number ISW03087) and her current practice location is
555 N Main St # 1088, Providence, Rhode Island. She can be reached at her office (for appointments etc.) via phone at
(401) 753-2425.
NPI number for Lydie Helene Gnacadja is 1558714089 and her current mailing address is 555 N Main St # 1088, Providence, Rhode Island. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1558714089.
Healthcare Provider's Profile
| Full Name | Lydie Helene Gnacadja |
|---|
| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 555 N Main St # 1088, Providence, Rhode Island |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1558714089
- Provider Enumeration Date: 07/20/2016
- Last Update Date: 10/30/2025
Medical Identifiers
Medical identifiers for Lydie Helene Gnacadja such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1558714089 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | LICSW123163 (Massachusetts) | Secondary |
| 1041C0700X | Social Worker - Clinical | 0904017082 (Virginia) | Secondary |
| 101YM0800X | Counselor - Mental Health | ISW03087 (Rhode Island) | Secondary |
| 101YM0800X | Counselor - Mental Health | SW24730 (Florida) | Secondary |
| 101YM0800X | Counselor - Mental Health | 14544 (Connecticut) | Secondary |
| 101YM0800X | Counselor - Mental Health | 0904017082 (Virginia) | Secondary |
| 1041C0700X | Social Worker - Clinical | 14544 (Connecticut) | Secondary |
| 1041C0700X | Social Worker - Clinical | SW24730 (Florida) | Secondary |
| 1041C0700X | Social Worker - Clinical | LICSW123163 (Massachusetts) | Secondary |
| 1041C0700X | Social Worker - Clinical | ISW03087 (Rhode Island) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lydie Helene Gnacadja is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Lydie Helene Gnacadja, LICSW
555 N Main St # 1088,
Providence, RI 02904-5722
Ph: (401) 753-2425 | Lydie Helene Gnacadja, LICSW
555 N Main St # 1088,
Providence, RI 02904-5722
Ph: (401) 753-2425 |
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