1942305578 NPI number — SANDRA L LAMMA LCSW

Table of content: SANDRA L LAMMA LCSW (NPI 1942305578)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1942305578 NPI number — SANDRA L LAMMA LCSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LAMMA
Provider First Name:
SANDRA
Provider Middle Name:
L
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
LCSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1942305578
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/04/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2917 WINDMILL RD
Provider Second Line Business Mailing Address:
STE 4
Provider Business Mailing Address City Name:
SINKING SPRING
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
19608-1679
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
610-670-7010
Provider Business Mailing Address Fax Number:
610-670-7910

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2917 WINDMILL RD
Provider Second Line Business Practice Location Address:
STE 4
Provider Business Practice Location Address City Name:
SINKING SPRING
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19608-1679
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-670-7010
Provider Business Practice Location Address Fax Number:
610-670-7910
Provider Enumeration Date:
09/14/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 104100000X , with the licence number:  CW013555 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 246200 . This is a "VALUEOPTIONS" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 7090278 . This is a "AETNA" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 278479000 . This is a "MAGELLAN HEALTH SERVICES" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 0865148000 . This is a "INDEP BC PERSONAL CHOICE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 832933 . This is a "HIGHMARK BLUE SHIELD" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 50048447 . This is a "CAPITAL BLUE CROSS" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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