Provider Demographics
NPI:1285052761
Name:LAMB, ADRIENNE (MSW, LSWA-IC)
Entity type:Individual
Prefix:
First Name:ADRIENNE
Middle Name:
Last Name:LAMB
Suffix:
Gender:F
Credentials:MSW, LSWA-IC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 NE 40TH ST
Mailing Address - Street 2:APT. C
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98105-6520
Mailing Address - Country:US
Mailing Address - Phone:206-819-5028
Mailing Address - Fax:
Practice Address - Street 1:14216 NE 21ST ST
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98007-3720
Practice Address - Country:US
Practice Address - Phone:425-653-5025
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-02
Last Update Date:2014-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA604196291041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical