Provider Demographics
NPI:1609842855
Name:LAMBERT, JOHN F (LCSW)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:F
Last Name:LAMBERT
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 ISLAND WAY
Mailing Address - Street 2:#905
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33767-1840
Mailing Address - Country:US
Mailing Address - Phone:727-492-4926
Mailing Address - Fax:727-442-4810
Practice Address - Street 1:820 JASMINE WAY
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33756-4014
Practice Address - Country:US
Practice Address - Phone:727-492-4926
Practice Address - Fax:727-442-4810
Is Sole Proprietor?:No
Enumeration Date:2006-02-27
Last Update Date:2008-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW28651041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL603956421OtherDUNS NUMBER
FL99605115OtherTPIN
FL99605115OtherTPIN