Healthcare Provider Details

I. General information

NPI: 1891211033
Provider Name (Legal Business Name): AMBER DORAN MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/18/2017
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 APPLEGATE RD STE 100
STROUDSBURG PA
18360-6502
US

IV. Provider business mailing address

6795 W 84TH CIR UNIT 10
ARVADA CO
80003-1146
US

V. Phone/Fax

Practice location:
  • Phone: 724-520-8539
  • Fax:
Mailing address:
  • Phone: 724-520-8539
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCW020249
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: