Healthcare Provider Details

I. General information

NPI: 1669209854
Provider Name (Legal Business Name): AMBER CHRISTINE YORK LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/19/2024
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1204 W ASH ST UNIT A
WINDSOR CO
80550-4660
US

IV. Provider business mailing address

1204 W ASH ST UNIT A
WINDSOR CO
80550-4660
US

V. Phone/Fax

Practice location:
  • Phone: 970-310-3406
  • Fax:
Mailing address:
  • Phone: 970-310-3406
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCSW.09933308
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number13573627-3501
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: