Provider Demographics
NPI:1033299847
Name:LAMBERG, RITA DINA (MSW CSW LCSWR)
Entity Type:Individual
Prefix:MRS
First Name:RITA
Middle Name:DINA
Last Name:LAMBERG
Suffix:
Gender:F
Credentials:MSW CSW LCSWR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:182 LAUREL LANE
Mailing Address - Street 2:
Mailing Address - City:WANTAGH
Mailing Address - State:NY
Mailing Address - Zip Code:11793-2777
Mailing Address - Country:US
Mailing Address - Phone:516-221-1227
Mailing Address - Fax:516-783-0518
Practice Address - Street 1:182 LAUREL LANE
Practice Address - Street 2:
Practice Address - City:WANTAGH
Practice Address - State:NY
Practice Address - Zip Code:11793-2777
Practice Address - Country:US
Practice Address - Phone:516-221-1227
Practice Address - Fax:516-783-0518
Is Sole Proprietor?:No
Enumeration Date:2006-10-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0284471104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02377104Medicaid
NY02377104Medicaid