Provider Demographics
NPI:1710538327
Name:STEELE, MATTIE LAMBERT (MSW, LCSW-A)
Entity type:Individual
Prefix:MRS
First Name:MATTIE
Middle Name:LAMBERT
Last Name:STEELE
Suffix:
Gender:F
Credentials:MSW, LCSW-A
Other - Prefix:MS
Other - First Name:MATTIE
Other - Middle Name:LYNN
Other - Last Name:LAMBERT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:154 HUNTERS HORN LN
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27107-9814
Mailing Address - Country:US
Mailing Address - Phone:336-468-0086
Mailing Address - Fax:
Practice Address - Street 1:1 MEDICAL CENTER BLVD
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27157-0001
Practice Address - Country:US
Practice Address - Phone:336-716-1994
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-25
Last Update Date:2019-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0135041041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical