Healthcare Provider Details
I. General information
NPI: 1972780393
Provider Name (Legal Business Name): JENNIFER ASHLEY LAMBERT L.C.S.W
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 01/28/2008
Last Update Date: 02/29/2024
Certification Date: 02/29/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7161 LEE HWY STE 400
CHATTANOOGA TN
37421-8604
US
IV. Provider business mailing address
1360 MACKEY BRANCH DR
CHATTANOOGA TN
37421-3225
US
V. Phone/Fax
- Phone: 423-443-3336
- Fax: 423-464-7510
- Phone: 423-443-3336
- Fax: 423-464-7510
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | 4744 |
| License Number State | TN |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: