Provider Demographics
NPI:1063528248
Name:LAMBERT, RICK GEORGE (DSW LCSW)
Entity type:Individual
Prefix:DR
First Name:RICK
Middle Name:GEORGE
Last Name:LAMBERT
Suffix:
Gender:M
Credentials:DSW LCSW
Other - Prefix:DR
Other - First Name:RIKI
Other - Middle Name:GEORGE
Other - Last Name:LAMBERT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DSW LCSW
Mailing Address - Street 1:3098 HIGHLAND DR #305
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84106
Mailing Address - Country:US
Mailing Address - Phone:801-467-6255
Mailing Address - Fax:801-467-1990
Practice Address - Street 1:3098 HIGHLAND DR #305
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84106
Practice Address - Country:US
Practice Address - Phone:801-467-6255
Practice Address - Fax:801-467-1990
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT10762535011041C0700X
UT1076253902106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist