MEDICARE: MS. SHERIDAN LAMBE LCSW

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	652	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1285783050
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SHERIDAN LAMBE LCSW

Provider Business Mailing Address
First Line	:	5386 MCELROY CV
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38120-1533
Country	:	US
Telephone Number	:	901-684-1896
Fax Number	:

Provider Business Practice Location Address
First Line	:	766 S WHITE STATION RD
Second Line	:	2A
City	:	MEMPHIS
State	:	TN
Zip	:	38117-4579
Country	:	US
Telephone Number	:	901-761-9178
Fax Number	:	901-761-9167

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

Provider Enumeration Date	:	01/09/2007
Last Update Date	:	02/09/2011

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