Jan Marie Lamar, LBSW
Individual provider Active NPI Social Worker · Lorena, TX
NPI 1265736631 · NPPES record last updated Dec 29, 2010
Key facts
- NPI
- 1265736631
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 11190 (TX)
- Practice address
- 2481 Pilgrim LN
Lorena, TX 76655-3424 - Phone
- (254) 857-9285
- Fax
- (254) 857-9285
- NPI assigned
- Dec 28, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11190 | TX | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 11190 | TX | Yes |
Addresses
Primary practice location
2481 Pilgrim LN
Lorena, TX 76655-3424
Mailing address
2481 Pilgrim LN
Lorena, TX 76655-3424
Phone (254) 857-9285
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 171M00000X | Medicaid | TX |
Other providers in Lorena, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 29, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.