Marydine L Lamb PA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW2375 Issued in FL

Legal business name

MARYDINE L LAMB PA

Practice address

2328 Manatee Ave West
Bradenton, FL 34205

Phone

(941) 684-1622

Fax

(941) 747-1093

NPI assigned

Dec 11, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Marydine Lentz Lamb, MSW LCSW

Title

President of PA

Phone

(813) 230-2257

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Marydine L Lamb LCSW Other name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201046400000",
    "number": "1336209576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2653",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335092653",
            "telephone_number": "941-684-1622",
            "fax_number": "941-747-1093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2328 MANATEE AVE WEST",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "34205",
            "telephone_number": "941-684-1622",
            "fax_number": "941-747-1093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYDINE L LAMB PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2008-01-23",
        "status": "A",
        "authorized_official_last_name": "LAMB",
        "authorized_official_first_name": "MARYDINE",
        "authorized_official_middle_name": "LENTZ",
        "authorized_official_title_or_position": "PRESIDENT OF PA",
        "authorized_official_telephone_number": "813-230-2257",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW2375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "09755",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "4235987",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marydine L Lamb LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Clinical Social Worker in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.