Provider Demographics
NPI:1285783050
Name:LAMBE, SHERIDAN (LCSW)
Entity type:Individual
Prefix:MS
First Name:SHERIDAN
Middle Name:
Last Name:LAMBE
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 1:5386 MCELROY CV
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38120-1533
Mailing Address - Country:US
Mailing Address - Phone:901-684-1896
Mailing Address - Fax:
Practice Address - Street 1:766 S WHITE STATION RD
Practice Address - Street 2:2A
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38117-4579
Practice Address - Country:US
Practice Address - Phone:901-761-9178
Practice Address - Fax:901-761-9167
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-09
Last Update Date:2011-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN6521041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3682094Medicaid
TN3682094Medicaid