MEDICARE: CARA JEAN LAMBERT LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	SW6868	FL
2	1041C0700X	Clinical Social Worker	SW6868	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1285295949
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARA JEAN LAMBERT LCSW

Provider Business Mailing Address
First Line	:	7718 NOTTINGHILL SKY DR
Second Line	:
City	:	APOLLO BEACH
State	:	FL
Zip	:	33572-1527
Country	:	US
Telephone Number	:	321-591-4017
Fax Number	:

Provider Business Practice Location Address
First Line	:	7718 NOTTINGHILL SKY DR
Second Line	:
City	:	APOLLO BEACH
State	:	FL
Zip	:	33572-1527
Country	:	US
Telephone Number	:	321-591-4017
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/24/2019
Last Update Date	:	04/13/2023

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