Provider Demographics
NPI:1922078138
Name:LAMBERT, ROBERT GALEN (LCSW)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:GALEN
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:PO BOX 539
Mailing Address - Street 2:
Mailing Address - City:CHEROKEE VILLAGE
Mailing Address - State:AR
Mailing Address - Zip Code:72525-0539
Mailing Address - Country:US
Mailing Address - Phone:870-257-3294
Mailing Address - Fax:870-994-7868
Practice Address - Street 1:1714A ASH FLAT DRIVE
Practice Address - Street 2:
Practice Address - City:ASH FLAT
Practice Address - State:AR
Practice Address - Zip Code:72513-0155
Practice Address - Country:US
Practice Address - Phone:870-994-2106
Practice Address - Fax:870-994-7868
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR904-C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR5S770Medicare ID - Type Unspecified