MEDICARE: VALERIE K LAMBERT LCSW CT LLC

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	308298-3501	UT

General Provider Information

NPI Number	:	1124558317
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VALERIE K LAMBERT LCSW CT LLC

Provider Business Mailing Address
First Line	:	900 N TERRACE HILLS DR
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84103-4023
Country	:	US
Telephone Number	:	801-856-6019
Fax Number	:	801-257-0528

Provider Business Practice Location Address
First Line	:	900 N TERRACE HILLS DR
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84103-4023
Country	:	US
Telephone Number	:	801-533-5632
Fax Number	:	801-257-0528

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	AMY LAMBERT
Credential	:
Telephone Number	:	801-856-6019

Provider Enumeration Date	:	06/19/2017
Last Update Date	:	05/25/2023

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