Provider Demographics
NPI:1346542370
Name:LAMBERT, SUZANNA MARIE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:SUZANNA
Middle Name:MARIE
Last Name:LAMBERT
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:SUZANNA
Other - Middle Name:MARIE
Other - Last Name:RASP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:PO BOX 777
Mailing Address - Street 2:
Mailing Address - City:RICHLAND
Mailing Address - State:MO
Mailing Address - Zip Code:65556-0777
Mailing Address - Country:US
Mailing Address - Phone:877-406-2662
Mailing Address - Fax:
Practice Address - Street 1:304 W WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:RICHLAND
Practice Address - State:MO
Practice Address - Zip Code:65556-7101
Practice Address - Country:US
Practice Address - Phone:877-406-2662
Practice Address - Fax:573-765-3824
Is Sole Proprietor?:No
Enumeration Date:2010-11-24
Last Update Date:2022-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20130121531041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical