MEDICARE: AMBER CHANNEL SCHWIND LMSW

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	9350	KS

General Provider Information

NPI Number	:	1255721817
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMBER CHANNEL SCHWIND LMSW

Provider Business Mailing Address
First Line	:	2020 E BLAKE ST
Second Line	:
City	:	WICHITA
State	:	KS
Zip	:	67211-5353
Country	:	US
Telephone Number	:	316-263-8463
Fax Number	:

Provider Business Practice Location Address
First Line	:	2020 E BLAKE ST
Second Line	:
City	:	WICHITA
State	:	KS
Zip	:	67211-5353
Country	:	US
Telephone Number	:	316-263-8463
Fax Number	:

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

Provider Enumeration Date	:	02/03/2015
Last Update Date	:	02/03/2015

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Directions to “ AMBER CHANNEL SCHWIND LMSW” Practice Location

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