Provider Demographics
NPI:1073597969
Name:LAMBERT, CAROL ANN (MSW)
Entity Type:Individual
Prefix:MS
First Name:CAROL
Middle Name:ANN
Last Name:LAMBERT
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:87 WOLF ROCK RD
Mailing Address - Street 2:
Mailing Address - City:CARLISLE
Mailing Address - State:MA
Mailing Address - Zip Code:01741-1129
Mailing Address - Country:US
Mailing Address - Phone:978-369-0259
Mailing Address - Fax:978-369-9683
Practice Address - Street 1:5 WATSON RD
Practice Address - Street 2:
Practice Address - City:BELMONT
Practice Address - State:MA
Practice Address - Zip Code:02478-3932
Practice Address - Country:US
Practice Address - Phone:617-484-2272
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-04
Last Update Date:2014-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1035211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA731896OtherTUFTS
MA040110000OtherMAGELLAN
MA731896OtherTUFTS