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NPI Code Detail

MEDICARE: MS. AMBER CRYSTAL SCHNEIDER LICSW

MEDICARE: MS. AMBER CRYSTAL SCHNEIDER LICSW
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
11041C0700XClinical Social Worker20462MN

General Provider Information

NPI Number : 1184036329
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. AMBER CRYSTAL SCHNEIDER LICSW
Provider Business Mailing Address
First Line : 3033 EXCELSIOR BLVD STE 215
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55416-5274
Country : US
Telephone Number : 612-979-2276
Fax Number : 651-925-0427
Provider Business Practice Location Address
First Line : 3033 EXCELSIOR BLVD STE 215
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55416-5274
Country : US
Telephone Number : 612-979-2276
Fax Number : 651-925-0427
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2014
Last Update Date : 10/23/2025

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