Provider Demographics
NPI:1881979326
Name:LAMAY, THERESA MARIE (LCSW)
Entity type:Individual
Prefix:
First Name:THERESA
Middle Name:MARIE
Last Name:LAMAY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1447 CHARMIAN CT
Mailing Address - Street 2:
Mailing Address - City:BENICIA
Mailing Address - State:CA
Mailing Address - Zip Code:94510-2539
Mailing Address - Country:US
Mailing Address - Phone:707-745-9063
Mailing Address - Fax:
Practice Address - Street 1:1447 CHARMIAN CT
Practice Address - Street 2:
Practice Address - City:BENICIA
Practice Address - State:CA
Practice Address - Zip Code:94510-2539
Practice Address - Country:US
Practice Address - Phone:707-745-9063
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-16
Last Update Date:2011-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS71221041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical