Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lyda Thao, LCSW

Individual provider Case Manager/Care Coordinator · NPI 1770101768

Lyda Thao, LCSW is a Clinical Social Worker in Madison, Wisconsin. Qualified in 2020, 6 years ago. Licensed in Wisconsin.

Years since qualifying
6
Licensed in
WI
In the registry since
2020
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

815 Forward Dr
Madison, WI 53711-2443
Phone: (608) 268-6530
Fax: (608) 709-1744
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 11193-123 (WI)
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1770101768
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJuly 7, 2020
Last updated in NPPESFebruary 4, 2026
Certification dateFebruary 4, 2026
Mailing address815 Forward Drive, Madison, WI 53711-2443

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated

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