Healthcare Provider Details

I. General information

NPI: 1134473028
Provider Name (Legal Business Name): PAOLA F LAMBERTI MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/31/2012
Last Update Date: 03/26/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

824 SOUTH DIAMOND ST.
NAMPA ID
83686
US

IV. Provider business mailing address

824 SOUTH DIAMOND ST.
NAMPA ID
83686
US

V. Phone/Fax

Practice location:
  • Phone: 208-546-3046
  • Fax: 208-466-9598
Mailing address:
  • Phone: 208-546-3046
  • Fax: 208-466-9598

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberLMSW32723
License Number StateID
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: