Provider Demographics
NPI:1780859074
Name:LAMM, NAN ADRIENNE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:NAN
Middle Name:ADRIENNE
Last Name:LAMM
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 1:35 MOHEGAN TRL
Mailing Address - Street 2:
Mailing Address - City:SOUTH WINDSOR
Mailing Address - State:CT
Mailing Address - Zip Code:06074-3820
Mailing Address - Country:US
Mailing Address - Phone:860-644-3388
Mailing Address - Fax:
Practice Address - Street 1:35 MOHEGAN TRL
Practice Address - Street 2:
Practice Address - City:SOUTH WINDSOR
Practice Address - State:CT
Practice Address - Zip Code:06074-3820
Practice Address - Country:US
Practice Address - Phone:860-644-3388
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-28
Last Update Date:2008-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0013241041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical