Provider Demographics
NPI:1083156228
Name:LAMBERT, STEFANIE (LCSWA)
Entity Type:Individual
Prefix:MRS
First Name:STEFANIE
Middle Name:
Last Name:LAMBERT
Suffix:
Gender:F
Credentials:LCSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:419 S LAFAYETTE ST
Mailing Address - Street 2:
Mailing Address - City:SAINT PAULS
Mailing Address - State:NC
Mailing Address - Zip Code:28384-1835
Mailing Address - Country:US
Mailing Address - Phone:910-865-8659
Mailing Address - Fax:
Practice Address - Street 1:711 N CEDAR ST
Practice Address - Street 2:
Practice Address - City:LUMBERTON
Practice Address - State:NC
Practice Address - Zip Code:28358-4976
Practice Address - Country:US
Practice Address - Phone:910-738-9973
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-11-04
Last Update Date:2016-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0102111041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical