Provider Demographics
NPI:1316619067
Name:LAMBERT, MELISSA ANN
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:ANN
Last Name:LAMBERT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:281 GREENE RD
Mailing Address - Street 2:
Mailing Address - City:GREENFIELD CENTER
Mailing Address - State:NY
Mailing Address - Zip Code:12833-1910
Mailing Address - Country:US
Mailing Address - Phone:518-260-9603
Mailing Address - Fax:
Practice Address - Street 1:281 GREENE RD
Practice Address - Street 2:
Practice Address - City:GREENFIELD CENTER
Practice Address - State:NY
Practice Address - Zip Code:12833-1910
Practice Address - Country:US
Practice Address - Phone:518-260-9603
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-01
Last Update Date:2021-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP112203104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker