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NPI Code Detail

MEDICARE: MRS. AMBER KIRBY LCSW, CSAC

MEDICARE:  MRS. AMBER  KIRBY  LCSW, CSAC
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
1104100000XSocial Worker8299-123WI
2101Y00000XCounselor205151827WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1871873968
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. AMBER KIRBY LCSW, CSAC
Provider Business Mailing Address
First Line : 2625 N WEIL ST
Second Line :
City : MILWAUKEE
State : WI
Zip : 53212-3060
Country : US
Telephone Number : 262-945-2012
Fax Number :
Provider Business Practice Location Address
First Line : 2625 N WEIL ST
Second Line :
City : MILWAUKEE
State : WI
Zip : 53212-3060
Country : US
Telephone Number : 262-945-2012
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2011
Last Update Date : 07/11/2022

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Directions to “ MRS. AMBER KIRBY LCSW, CSAC” Practice Location

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