Healthcare Provider Details

I. General information

NPI: 1790804474
Provider Name (Legal Business Name): AMBER LEANN STRONG LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AMBER LEANN NEEDHAM LCSW

II. Dates (important events)

Enumeration Date: 03/27/2007
Last Update Date: 12/22/2021
Certification Date: 12/22/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4900 CALIFORNIA AVE TOWER A SUITE 200
BAKERSFIELD CA
93309-7024
US

IV. Provider business mailing address

PO BOX 1000
BAKERSFIELD CA
93302-1000
US

V. Phone/Fax

Practice location:
  • Phone: 661-868-6750
  • Fax: 661-868-6752
Mailing address:
  • Phone: 661-852-2742
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW61550
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: