Provider Demographics
NPI:1811332125
Name:LAMBERT, GRETA LYNN (LMSW)
Entity type:Individual
Prefix:MS
First Name:GRETA
Middle Name:LYNN
Last Name:LAMBERT
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1859 DEER CREEK DR
Mailing Address - Street 2:
Mailing Address - City:DE SOTO
Mailing Address - State:MO
Mailing Address - Zip Code:63020-2622
Mailing Address - Country:US
Mailing Address - Phone:314-223-2132
Mailing Address - Fax:
Practice Address - Street 1:608 PINE ST
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:MO
Practice Address - Zip Code:63640-3020
Practice Address - Country:US
Practice Address - Phone:573-756-6744
Practice Address - Fax:573-756-5579
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-01
Last Update Date:2013-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20130113891041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical