Healthcare Provider Details

I. General information

NPI: 1346542370
Provider Name (Legal Business Name): SUZANNA MARIE LAMBERT LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SUZANNA MARIE RASP LMSW

II. Dates (important events)

Enumeration Date: 11/24/2010
Last Update Date: 09/27/2022
Certification Date: 09/27/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

304 W WASHINGTON AVE
RICHLAND MO
65556-7101
US

IV. Provider business mailing address

PO BOX 777
RICHLAND MO
65556-0777
US

V. Phone/Fax

Practice location:
  • Phone: 877-406-2662
  • Fax: 573-765-3824
Mailing address:
  • Phone: 877-406-2662
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number2013012153
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: