Provider Demographics
NPI:1023756673
Name:LAMBERT, DYMON (MSW, LSW)
Entity type:Individual
Prefix:MS
First Name:DYMON
Middle Name:
Last Name:LAMBERT
Suffix:
Gender:F
Credentials:MSW, LSW
Other - Prefix:
Other - First Name:DYMON
Other - Middle Name:
Other - Last Name:TODMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW, LSW
Mailing Address - Street 1:1524 SUNSET BLVD A
Mailing Address - Street 2:
Mailing Address - City:STEUBENVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43952
Mailing Address - Country:US
Mailing Address - Phone:800-691-6113
Mailing Address - Fax:
Practice Address - Street 1:1524 SUNSET BLVD A
Practice Address - Street 2:
Practice Address - City:STEUBENVILLE
Practice Address - State:OH
Practice Address - Zip Code:43952
Practice Address - Country:US
Practice Address - Phone:800-691-6113
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-24
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106S00000X
OH2208253101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0301947Medicaid