MEDICARE: ERIC H LAMB 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	149006018	IL
2	1041C0700X	Clinical Social Worker	MS-C7552	MS
3	1041C0700X	Clinical Social Worker	SW12114	FL

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1386643278
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIC H LAMB LCSW

Provider Business Mailing Address
First Line	:	495 GRAND BLVD STE 206
Second Line	:
City	:	MIRAMAR BEACH
State	:	FL
Zip	:	32550-1897
Country	:	US
Telephone Number	:	847-404-4855
Fax Number	:	850-613-6184

Provider Business Practice Location Address
First Line	:	495 GRAND BLVD STE 206
Second Line	:
City	:	MIRAMAR BEACH
State	:	FL
Zip	:	32550-1897
Country	:	US
Telephone Number	:	847-404-4855
Fax Number	:	850-613-6184

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

Provider Enumeration Date	:	07/21/2005
Last Update Date	:	03/27/2024

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Directions to “ ERIC H LAMB LCSW” Practice Location

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