Individual provider Active NPI

Eric H Lamb, LCSW

  • Clinical Social Worker
  • Miramar Beach, FL
National Provider Identifier
1386643278
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW12114 Issued in FL
Practice address
495 Grand Blvd Ste 206
Miramar Beach, FL 32550-1897
Phone
(847) 404-4855
Fax
(850) 613-6184
NPI assigned
Jul 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149006018 IL
Clinical Social Worker 1041C0700X MS-C7552 MS
Clinical Social Worker 1041C0700X SW12114 FL Primary

Addresses

Primary practice location

495 Grand Blvd Ste 206
Miramar Beach, FL 32550-1897

Mailing address

495 Grand Blvd Ste 206
Miramar Beach, FL 32550-1897
Phone (847) 404-4855

Other identifiers 2

IdentifierTypeStateIssuer
00284506MedicaidMS
023851900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150529000918 FL Practitioner - Clinical Social Worker 7214998152 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1991
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

495 Grand Blvd
Suite 206
Miramar Beach, FL 32550-1897
Phone (847) 404-4855

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MS-C7552MSMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Eric Hedean Lamb, LCSW, LLC Clinical CurrentSince Sep 1, 2017 Accepting new patients
Margaret a Couch LCSW & Associates, LLC Clinical PastSince Apr 22, 2009 Accepting new patients
Eric H Lamb LCSW PC Clinical PastSince May 1, 2004 Accepting new patients

Locations

101 Matthew Blvd
Destin, FL 32541
Phone (847) 404-4855

495 Grand Blvd
Ste 206
Miramar Beach, FL 32550
Phone (850) 867-4950

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1386643278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 GRAND BLVD STE 206",
            "city": "MIRAMAR BEACH",
            "state": "FL",
            "postal_code": "325501897",
            "telephone_number": "847-404-4855",
            "fax_number": "850-613-6184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 GRAND BLVD STE 206",
            "city": "MIRAMAR BEACH",
            "state": "FL",
            "postal_code": "325501897",
            "telephone_number": "847-404-4855",
            "fax_number": "850-613-6184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMB",
        "first_name": "ERIC",
        "middle_name": "H",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-21",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149006018",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "MS-C7552",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW12114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00284506",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "023851900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar Beach, FL

Sources for this page

Verify at the official NPI Registry.