Kylie Polzer Lambert, LCSW, LCAS-A

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C011145 Issued in NC

Practice address

1330 Saint Marys St Ste 340
Raleigh, NC 27605-3334

Phone

(919) 229-9834

NPI assigned

Nov 16, 2015

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Miss Kylie Kathleen Polzer Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Apr 19, 2018 through Apr 19, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Aspire Counseling Group, PLLC

  • Clinical Social Worker
  • Raleigh, NC
  • NPI 1972835031
  NPD (past)

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

{
    "created_epoch": "1447632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1780058651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10410 SABLEWOOD DR",
            "address_2": "UNIT 105",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276177917",
            "telephone_number": "610-844-8224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 SAINT MARYS ST STE 340",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276053334",
            "telephone_number": "919-229-9834"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Manning Dr",
            "address_purpose": "LOCATION",
            "city": "Chapel Hill",
            "state": "NC",
            "postal_code": "275144220",
            "country_code": "US",
            "telephone_number": "984-974-0171",
            "fax_number": "984-974-4587",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAMBERT",
        "first_name": "KYLIE",
        "middle_name": "POLZER",
        "name_prefix": "Mrs.",
        "credential": "LCSW, LCAS-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-16",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-21771",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C011145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KYLIE",
            "last_name": "POLZER",
            "middle_name": "KATHLEEN",
            "prefix": "MISS",
            "credential": "LCSW-A, LCAS-A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lee Lamb, MS, RDN, LDN
• Martha Andrus Lamb, LCSW
• Ryan Philip Lamb, M.D.
• Camille E Lambe, NP
• Kyle Christopher Lambert, PA-C
• Miracle Lambert
• Sieera Brooke Lambert
• Timothy Heath Lambert, CRNA
• Lambeth Plastic Surgery & Aesthetics, PA
• Sherri Lambeth

• Clinical Social Worker in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.