Provider Demographics
NPI:1639555410
Name:LEMBECK, SOPHIE ANNA
Entity Type:Individual
Prefix:
First Name:SOPHIE
Middle Name:ANNA
Last Name:LEMBECK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:265 COLLEGE ST APT 12K
Mailing Address - Street 2:
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06510-2426
Mailing Address - Country:US
Mailing Address - Phone:914-980-9980
Mailing Address - Fax:
Practice Address - Street 1:265 COLLEGE ST APT 12K
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06510-2426
Practice Address - Country:US
Practice Address - Phone:914-980-9980
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-04
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker