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NPI Code Detail

MEDICARE: LAMBS FARM INC

MEDICARE: LAMBS FARM INC
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
11041C0700XClinical Social Worker
2251S00000XCommunity/Behavioral Health Agency
3103K00000XBehavior Analyst
4261QM0855XAdolescent and Children Mental Health Clinic/Center
5261QM0850XAdult Mental Health Clinic/Center

General Provider Information

NPI Number : 1154134682
Entity Type Code : Organization
Provider Name (Legal Business Name) : LAMBS FARM INC
Provider Business Mailing Address
First Line : 14245 W ROCKLAND RD
Second Line :
City : LIBERTYVILLE
State : IL
Zip : 60048-9745
Country : US
Telephone Number : 847-990-3833
Fax Number :
Provider Business Practice Location Address
First Line : 14245 W ROCKLAND RD
Second Line :
City : LIBERTYVILLE
State : IL
Zip : 60048-9745
Country : US
Telephone Number : 847-990-3833
Fax Number :
Authorized Official
Title or Position : CLINICAL DIRECTOR
Name : EMMA L BURTON-LODER
Credential : MSW, LCSW
Telephone Number : 714-470-3534
Provider Enumeration Date : 01/29/2025
Last Update Date : 04/09/2026

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Directions to “LAMBS FARM INC ” Practice Location

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