Provider Demographics
NPI:1558638312
Name:LAMB, KRISTEN JANELLE (MSW, LISW)
Entity type:Individual
Prefix:
First Name:KRISTEN
Middle Name:JANELLE
Last Name:LAMB
Suffix:
Gender:F
Credentials:MSW, LISW
Other - Prefix:
Other - First Name:KRISTEN
Other - Middle Name:
Other - Last Name:RESSLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5050 MADISON RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45227-1491
Mailing Address - Country:US
Mailing Address - Phone:513-272-2800
Mailing Address - Fax:513-631-7484
Practice Address - Street 1:5050 MADISON RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45227-1491
Practice Address - Country:US
Practice Address - Phone:513-272-2800
Practice Address - Fax:513-631-7484
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-22
Last Update Date:2018-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
104100000X
OHI14401451041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker