Provider Demographics
NPI:1740323880
Name:LAMPERT, DENA L (LCSW, CASAC)
Entity type:Individual
Prefix:MS
First Name:DENA
Middle Name:L
Last Name:LAMPERT
Suffix:
Gender:F
Credentials:LCSW, CASAC
Other - Prefix:MISS
Other - First Name:DENA
Other - Middle Name:L
Other - Last Name:EPELBAUM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:119 NORTH PARK AVE
Mailing Address - Street 2:SUITE 204
Mailing Address - City:ROCKVILLE CENTRE
Mailing Address - State:NY
Mailing Address - Zip Code:11570
Mailing Address - Country:US
Mailing Address - Phone:516-208-3792
Mailing Address - Fax:516-208-3792
Practice Address - Street 1:119 NORTH PARK AVE
Practice Address - Street 2:SUITE 204
Practice Address - City:ROCKVILLE CENTRE
Practice Address - State:NY
Practice Address - Zip Code:11570
Practice Address - Country:US
Practice Address - Phone:516-208-3792
Practice Address - Fax:516-208-3792
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-15
Last Update Date:2011-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0524651101YA0400X
NYR052465-11041C0700X
NY10711101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYR0524651OtherLCSW