Provider Demographics
NPI:1881863132
Name:LAMBERT, VIRGINIA ANNE IV (LCSW-R, CASAC)
Entity Type:Individual
Prefix:MS
First Name:VIRGINIA
Middle Name:ANNE
Last Name:LAMBERT
Suffix:IV
Gender:F
Credentials:LCSW-R, CASAC
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:200 E END AVE
Mailing Address - Street 2:6K
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-7831
Mailing Address - Country:US
Mailing Address - Phone:212-427-3606
Mailing Address - Fax:212-369-6434
Practice Address - Street 1:160 W 86TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-4018
Practice Address - Country:US
Practice Address - Phone:212-362-8755
Practice Address - Fax:212-362-0168
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-20
Last Update Date:2008-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR046144-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical