Provider Demographics
NPI:1821186198
Name:LAMP, CATHY LEE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:CATHY
Middle Name:LEE
Last Name:LAMP
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 1:2416 21ST AVE S
Mailing Address - Street 2:STE 204
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37212-5316
Mailing Address - Country:US
Mailing Address - Phone:615-383-3916
Mailing Address - Fax:615-315-0824
Practice Address - Street 1:2416 21ST AVE S
Practice Address - Street 2:STE 204
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37212-5316
Practice Address - Country:US
Practice Address - Phone:615-383-3916
Practice Address - Fax:615-315-0824
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLSW00000006871041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3696550Medicare ID - Type Unspecified