Provider Demographics
NPI:1528571205
Name:LAMON, NANCY REE (LCSW)
Entity Type:Individual
Prefix:MISS
First Name:NANCY
Middle Name:REE
Last Name:LAMON
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 1:1325 E BROAD ST
Mailing Address - Street 2:
Mailing Address - City:BELOIT
Mailing Address - State:WI
Mailing Address - Zip Code:53511-6484
Mailing Address - Country:US
Mailing Address - Phone:608-289-1900
Mailing Address - Fax:
Practice Address - Street 1:1325 E BROAD ST
Practice Address - Street 2:
Practice Address - City:BELOIT
Practice Address - State:WI
Practice Address - Zip Code:53511-6484
Practice Address - Country:US
Practice Address - Phone:608-289-1900
Practice Address - Fax:608-289-1900
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-16
Last Update Date:2019-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI9260-1231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI9260-123OtherLICENSED CLINICAL SOCIAL WORKER