MEDICARE: AMY TEMPEL 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	34010890A	IN

General Provider Information

NPI Number	:	1356185623
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMY TEMPEL LCSW

Provider Business Mailing Address
First Line	:	3805 E COUNTY ROAD 2000 N
Second Line	:
City	:	DALE
State	:	IN
Zip	:	47523-9573
Country	:	US
Telephone Number	:	812-455-6601
Fax Number	:

Provider Business Practice Location Address
First Line	:	3805 E COUNTY ROAD 2000 N
Second Line	:
City	:	DALE
State	:	IN
Zip	:	47523-9573
Country	:	US
Telephone Number	:	812-455-6601
Fax Number	:

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

Provider Enumeration Date	:	06/21/2024
Last Update Date	:	06/21/2024

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Directions to “ AMY TEMPEL LCSW” Practice Location

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