MEDICARE: JUDITH LAMBERT LICSW

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	1041C0700X	Clinical Social Worker	1285	NH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	14Y008738NH02	OTHER	NH	BLUE CROSS

General Provider Information

NPI Number	:	1023116092
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUDITH LAMBERT LICSW

Provider Business Mailing Address
First Line	:	8 COMMERCE DR STE 305
Second Line	:
City	:	BEDFORD
State	:	NH
Zip	:	03110-6946
Country	:	US
Telephone Number	:	603-883-0005
Fax Number	:

Provider Business Practice Location Address
First Line	:	8 COMMERCE DR STE 305
Second Line	:
City	:	BEDFORD
State	:	NH
Zip	:	03110-6946
Country	:	US
Telephone Number	:	603-883-0005
Fax Number	:

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

Provider Enumeration Date	:	09/21/2006
Last Update Date	:	09/17/2024

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