Basic Information
Provider Information
NPI: 1548534282
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LAMBERT-ESSLING
FirstName: KIERA
MiddleName: M.
NamePrefix: MRS.
NameSuffix:  
Credential: LMSW
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1574 OXFORD RD
Address2:  
City: WANTAGH
State: NY
PostalCode: 117932446
CountryCode: US
TelephoneNumber: 5167810190
FaxNumber:  
Practice Location
Address1: 10470 QUEENS BLVD
Address2: SUITE 200
City: FOREST HILLS
State: NY
PostalCode: 113753638
CountryCode: US
TelephoneNumber: 7182756010
FaxNumber:  
Other Information
ProviderEnumerationDate: 02/27/2012
LastUpdateDate: 05/10/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
104100000X083648-1NYY Behavioral Health & Social Service ProvidersSocial Worker 

No ID Information.


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