Provider Demographics
NPI:1740456979
Name:LAMKIN, NATHANIEL R (LCSW)
Entity type:Individual
Prefix:MR
First Name:NATHANIEL
Middle Name:R
Last Name:LAMKIN
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6746 GRAINERY RD
Mailing Address - Street 2:
Mailing Address - City:TIMNATH
Mailing Address - State:CO
Mailing Address - Zip Code:80547-5811
Mailing Address - Country:US
Mailing Address - Phone:781-752-5595
Mailing Address - Fax:
Practice Address - Street 1:6746 GRAINERY RD
Practice Address - Street 2:
Practice Address - City:TIMNATH
Practice Address - State:CO
Practice Address - Zip Code:80547-5811
Practice Address - Country:US
Practice Address - Phone:781-752-5595
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-07
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCSW.099251031041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical