MS. MARGARET RAY LIDSTROM (LCSW) – Clinical Social Worker, NPI 1053351387

MS. MARGARET RAY LIDSTROM (LCSW) is a healthcare provider. based in Virginia beach, Virginia. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 0904000638 (VA). The NPI Number for MS. MARGARET RAY LIDSTROM (LCSW) is 1053351387

Main info

Female
47 Years Of Experience
Accepts Medicare Assignment
Name
MS. MARGARET RAY LIDSTROM (LCSW)
NPI
1053351387
Phone
(757) 636-9187
Address
2940 N LYNNHAVEN RD
Enumeration Date
7 June 2006
Last Update Date
9 December 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7574613313
Graduation Year
1979 (47 years ago)
PAC ID
0941477913
Group Practice PAC ID
7618907551
Professional Enrollment ID
I20120113000407
Address ID
VA235020001NO6353XDRXX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,023 CLINICAL SOCIAL WORKER in VA

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Provider Addresses for MS. MARGARET RAY LIDSTROM (LCSW)

  • 2940, North Lynnhaven Road, Market Square, Lynnhaven, Virginia Beach, Virginia, 23452, United States

    SUITE 130

    VIRGINIA BEACH, VA 234526949

    Phone: (757) 636-9187

    Fax: (888) 785-9387

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-01-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120113000407IClinical Social WorkerVATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour8211$0
View full utilization report →

Insurance plans in this area (ZIP 23452)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7618907551View full group profile
NameSpecialtyState
Clinical Social WorkerVA
Nurse PractitionerVA
Clinical Social WorkerNC
P S Y C H I A T R YVA
-VA
-VA
Mental Health CounselorCO
Clinical PsychologistVA
Physician AssistantVA
Nurse PractitionerVA

Reviews

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Frequently asked questions

Can I cross-check MS. MARGARET RAY LIDSTROM (LCSW) using NPI 1053351387?
NPI 1053351387 belongs to MS. MARGARET RAY LIDSTROM (LCSW); compare other details if you need extra assurance.
Is there an active status for MS. MARGARET RAY LIDSTROM (LCSW)?
For scheduling context, MS. MARGARET RAY LIDSTROM (LCSW) is shown as active in the registry.
What area of care is associated with MS. MARGARET RAY LIDSTROM (LCSW)?
MS. MARGARET RAY LIDSTROM (LCSW)'s record emphasizes Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Is MS. MARGARET RAY LIDSTROM (LCSW) located near Virginia Beach?
MS. MARGARET RAY LIDSTROM (LCSW) currently maps to Virginia Beach, Virginia in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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