Provider Demographics
NPI:1396823944
Name:LAMBKINS, MADELYNN JHAINE (MSW)
Entity Type:Individual
Prefix:MS
First Name:MADELYNN
Middle Name:JHAINE
Last Name:LAMBKINS
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:LYNN
Other - Middle Name:
Other - Last Name:LAMBKINS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW
Mailing Address - Street 1:PO BOX 561074
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90056-0179
Mailing Address - Country:US
Mailing Address - Phone:323-717-6118
Mailing Address - Fax:
Practice Address - Street 1:921 EAST COMPTON BOULEVARD
Practice Address - Street 2:FIRST FLOOR
Practice Address - City:COMPTON
Practice Address - State:CA
Practice Address - Zip Code:90221-3303
Practice Address - Country:US
Practice Address - Phone:310-668-6948
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAASW 129081041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical