Healthcare Provider Details

I. General information

NPI: 1235049875
Provider Name (Legal Business Name): AMBER VERNON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11897 OSCEOLA ST
WESTMINSTER CO
80031-5007
US

IV. Provider business mailing address

11897 OSCEOLA ST
WESTMINSTER CO
80031-5007
US

V. Phone/Fax

Practice location:
  • Phone: 828-713-6459
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSWC.0000001859
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: