Provider Demographics
NPI:1649351313
Name:LAMB, JEANINE MARIA (MSW, LCSW-C)
Entity type:Individual
Prefix:MS
First Name:JEANINE
Middle Name:MARIA
Last Name:LAMB
Suffix:
Gender:F
Credentials:MSW, LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3000 CONNECTICUT AVE NW STE 237D
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20008-2531
Mailing Address - Country:US
Mailing Address - Phone:301-518-6947
Mailing Address - Fax:
Practice Address - Street 1:3000 CONNECTICUT AVE NW STE 237D
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20008-2531
Practice Address - Country:US
Practice Address - Phone:301-518-6947
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2022-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD110351041C0700X
DCLC30008121041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical