Healthcare Provider Details

I. General information

NPI: 1871873968
Provider Name (Legal Business Name): AMBER KIRBY LCSW, CSAC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AMBER HIBBEN APSW, CSAC

II. Dates (important events)

Enumeration Date: 08/22/2011
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2625 N WEIL ST
MILWAUKEE WI
53212-3060
US

IV. Provider business mailing address

2625 N WEIL ST
MILWAUKEE WI
53212-3060
US

V. Phone/Fax

Practice location:
  • Phone: 414-962-1200
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number205151827
License Number StateWI
# 2
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number8299-123
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: