Provider Demographics
NPI:1427426311
Name:LAMBERT, CATHY (LCSW)
Entity type:Individual
Prefix:
First Name:CATHY
Middle Name:
Last Name:LAMBERT
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 1:1218 W DIXIE AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:LEESBURG
Mailing Address - State:FL
Mailing Address - Zip Code:34748-6380
Mailing Address - Country:US
Mailing Address - Phone:352-431-3940
Mailing Address - Fax:352-559-0570
Practice Address - Street 1:1218 W DIXIE AVE
Practice Address - Street 2:SUITE A
Practice Address - City:LEESBURG
Practice Address - State:FL
Practice Address - Zip Code:34748-6380
Practice Address - Country:US
Practice Address - Phone:352-431-3940
Practice Address - Fax:352-559-0570
Is Sole Proprietor?:No
Enumeration Date:2015-09-09
Last Update Date:2015-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW80681041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical