Provider Demographics
NPI:1265422117
Name:LAMBROSCHINO, JUSTINE MCGUIRK (LICSW)
Entity type:Individual
Prefix:MRS
First Name:JUSTINE
Middle Name:MCGUIRK
Last Name:LAMBROSCHINO
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:JUSTINE
Other - Middle Name:
Other - Last Name:LAMBROSCHINO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LICSW
Mailing Address - Street 1:51 GIFFORD ST
Mailing Address - Street 2:
Mailing Address - City:FALMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02540-3360
Mailing Address - Country:US
Mailing Address - Phone:508-317-5243
Mailing Address - Fax:
Practice Address - Street 1:51 GIFFORD ST
Practice Address - Street 2:
Practice Address - City:FALMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02540-3304
Practice Address - Country:US
Practice Address - Phone:508-317-5243
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-24
Last Update Date:2017-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1118851041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA002734133OtherOPTUM/UBH
MAP08408OtherBLUE CROSS
MA0007368924OtherAETNA
MA1859544Medicaid
MA1137020OtherNHP
MA550010006939OtherPACIFICARE/HARVARDPILGRIM
MA1137020OtherBEACON
MA002734133OtherOPTUM/UBH