Provider Demographics
NPI:1750410874
Name:LAMPE, JAMES N (LCSW)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:N
Last Name:LAMPE
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 1:253 INDIANA AVE # 1E1W
Mailing Address - Street 2:
Mailing Address - City:VALPARAISO
Mailing Address - State:IN
Mailing Address - Zip Code:46383-5542
Mailing Address - Country:US
Mailing Address - Phone:773-665-1380
Mailing Address - Fax:
Practice Address - Street 1:253 INDIANA AVE # 1E1W
Practice Address - Street 2:
Practice Address - City:VALPARAISO
Practice Address - State:IN
Practice Address - Zip Code:46383-5542
Practice Address - Country:US
Practice Address - Phone:773-665-1380
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-05
Last Update Date:2023-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0014451041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical