Provider Demographics
NPI:1508911934
Name:LAMONT, ELIZABETH C (LCSW)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:C
Last Name:LAMONT
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 1:615 CRILL AVE
Mailing Address - Street 2:
Mailing Address - City:PALATKA
Mailing Address - State:FL
Mailing Address - Zip Code:32177-5127
Mailing Address - Country:US
Mailing Address - Phone:719-581-0874
Mailing Address - Fax:844-741-3242
Practice Address - Street 1:615 CRILL AVE
Practice Address - Street 2:
Practice Address - City:PALATKA
Practice Address - State:FL
Practice Address - Zip Code:32177-5127
Practice Address - Country:US
Practice Address - Phone:719-581-0874
Practice Address - Fax:844-741-3242
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-24
Last Update Date:2020-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW145351041C0700X
OK45751041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical