Healthcare Provider Details

I. General information

NPI: 1760658686
Provider Name (Legal Business Name): MICHAEL J. LAMBERT MSW, LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/30/2008
Last Update Date: 03/28/2025
Certification Date: 03/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4190 S HIGHLAND DR
SALT LAKE CITY UT
84124-2600
US

IV. Provider business mailing address

1361 REBECCA CIR
SALT LAKE CITY UT
84117-5864
US

V. Phone/Fax

Practice location:
  • Phone: 801-872-8321
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number5132957-3501
License Number StateUT

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: