Provider Demographics
NPI:1487742821
Name:LAMBERT, KATHERINE THERESE (ACSW LICSW CCATOD)
Entity type:Individual
Prefix:MRS
First Name:KATHERINE
Middle Name:THERESE
Last Name:LAMBERT
Suffix:
Gender:F
Credentials:ACSW LICSW CCATOD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:174 HAVERHILL ST
Mailing Address - Street 2:#312
Mailing Address - City:ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01810-1542
Mailing Address - Country:US
Mailing Address - Phone:978-726-9874
Mailing Address - Fax:
Practice Address - Street 1:3 MEETING HOUSE RD
Practice Address - Street 2:STE 30
Practice Address - City:CHELMSFORD
Practice Address - State:MA
Practice Address - Zip Code:01824-2742
Practice Address - Country:US
Practice Address - Phone:978-726-9874
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-11
Last Update Date:2018-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10260921041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAPO8607OtherBLUECROSS I.D. NO.
MA8846785252OtherNATIONAL ASSOCIATION OF S
MA739OtherADDICTION LICENSE
MA10260092OtherMA LICENSE
MA45508OtherNAADAC
MA45508OtherNAADAC