Healthcare Provider Details

I. General information

NPI: 1427547066
Provider Name (Legal Business Name): AMY MICHELLE NASH LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: AMY MICHELLE MESSER

II. Dates (important events)

Enumeration Date: 05/09/2018
Last Update Date: 06/06/2025
Certification Date: 06/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

US ARMY MEDDAC BAVARIA UNIT 28037
APO AE
09112
US

IV. Provider business mailing address

US ARMY MEDDAC BAVARIA UNIT 28037
APO AE
09112
US

V. Phone/Fax

Practice location:
  • Phone: 324-379-9062
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberC011405
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: