Provider Demographics
NPI:1407870777
Name:LAMBERK, MARNI JOY (LCSW)
Entity Type:Individual
Prefix:
First Name:MARNI
Middle Name:JOY
Last Name:LAMBERK
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:MARNI
Other - Middle Name:JOY
Other - Last Name:LEEBOW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:7301A W PALMETTO PARK RD STE 106C
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33433-3403
Mailing Address - Country:US
Mailing Address - Phone:561-391-4669
Mailing Address - Fax:561-391-1815
Practice Address - Street 1:7301A W PALMETTO PARK RD STE 106C
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33433-3403
Practice Address - Country:US
Practice Address - Phone:561-391-4669
Practice Address - Fax:561-391-1815
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2014-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW80641041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLZ108COtherBCBS
FLZ108COtherBCBS