MEDICARE: AMBER ROSSER LCSW-A

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	P023447	NC

General Provider Information

NPI Number	:	1144177536
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMBER ROSSER LCSW-A

Provider Business Mailing Address
First Line	:	4809 BLACK FOREST DR
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27405-9826
Country	:	US
Telephone Number	:	434-941-7411
Fax Number	:

Provider Business Practice Location Address
First Line	:	5 OAK BRANCH DR STE H
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27407-2157
Country	:	US
Telephone Number	:	336-288-9190
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/13/2026
Last Update Date	:	03/13/2026

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