Provider Demographics
NPI:1326235938
Name:LAMB, PATRICIA MARGARET (LCSW)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:MARGARET
Last Name:LAMB
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:735 COOPER DR
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40502-2249
Mailing Address - Country:US
Mailing Address - Phone:859-266-6309
Mailing Address - Fax:859-253-0095
Practice Address - Street 1:436 W 2ND ST
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40507-1040
Practice Address - Country:US
Practice Address - Phone:859-253-9024
Practice Address - Fax:859-253-0095
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-27
Last Update Date:2007-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY44661041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY4466OtherLICENSE NUMBER
KY886433063OtherNASW ID