Provider Demographics
NPI:1437397601
Name:LAMM, MARTIN (LCSW)
Entity Type:Individual
Prefix:MR
First Name:MARTIN
Middle Name:
Last Name:LAMM
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:MR
Other - First Name:MOSHE
Other - Middle Name:ZEV
Other - Last Name:LAMM
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:14 DALEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:SUFFERN
Mailing Address - State:NY
Mailing Address - Zip Code:10901-4309
Mailing Address - Country:US
Mailing Address - Phone:845-418-2565
Mailing Address - Fax:
Practice Address - Street 1:14 DALEWOOD DR
Practice Address - Street 2:
Practice Address - City:SUFFERN
Practice Address - State:NY
Practice Address - Zip Code:10901-4309
Practice Address - Country:US
Practice Address - Phone:845-418-2565
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-27
Last Update Date:2011-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY078984-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical