Provider Demographics
NPI:1255354981
Name:LAMER, CLARA KAY (MSW, LICSW)
Entity type:Individual
Prefix:
First Name:CLARA
Middle Name:KAY
Last Name:LAMER
Suffix:
Gender:F
Credentials:MSW, LICSW
Other - Prefix:
Other - First Name:KAY
Other - Middle Name:
Other - Last Name:LAMER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW, LICSW
Mailing Address - Street 1:319 LITTLETON ROAD
Mailing Address - Street 2:SUITE102
Mailing Address - City:WESTFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01886-4133
Mailing Address - Country:US
Mailing Address - Phone:978-692-4565
Mailing Address - Fax:
Practice Address - Street 1:319 LITTLETON RD
Practice Address - Street 2:SUITE102
Practice Address - City:WESTFORD
Practice Address - State:MA
Practice Address - Zip Code:01886-4126
Practice Address - Country:US
Practice Address - Phone:978-692-4565
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10158291041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA758804OtherTUFTS HEALTH PLAN
MA179621OtherVALUE OPTIONS
MA094815OtherMHN
MAPO4640OtherBCBS
MA1852477OtherMASS HEALTH
MA094815OtherMHN