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

Lydia Davidson Bullock, LCSW

Individual provider Clinical Social Worker · NPI 1326189457

Lydia Davidson Bullock, LCSW is a Clinical Social Worker in Ogden, Utah. Practices as a sole proprietor. Licensed in Utah.

Licensed in
UT
In the registry since
2007
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

2416 Woodland Dr
Ogden, UT 84403-5110
Phone: (801) 475-4609
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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 5297671-3502 (UT)
Clinical Social Worker Taxonomy 1041C0700X · Licence 5297671-3501 (UT)

Record details

NPI number1326189457
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedFebruary 10, 2007
Last updated in NPPESAugust 19, 2022
Certification dateAugust 17, 2022

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