Dustrine B Lambert Sr., LCSW PIP

Individual provider Active NPI Clinical Social Worker · Mt Vernon, AL

NPI 1750435608 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1750435608
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
0219C PIP013 0219C (AL)
Practice address
725 East Coy Smith Highway
Mt Vernon, AL 36560
Phone
(251) 662-6700
Fax
(251) 829-5385
NPI assigned
Jan 22, 2007
Sex
Male
Sole proprietor
No

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
0219C PIP013 0219CALMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
State of Alabama Dept of Finance Past Accepting new patients
State of Alabama Dept of Finace Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0219C PIP013 0219C AL Yes

Addresses

Primary practice location

725 East Coy Smith Highway
Mt Vernon, AL 36560

Mailing address

PO Box 1090
Mt Vernon, AL 36560
Phone (251) 662-6700

Other providers in Mt Vernon, AL

All providers in Mt Vernon, AL · Clinical Social Worker in Alabama

Sources for this page

Verify at the official NPI Registry.