MEDICARE: MRS. AMBER WILL LCSW

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	1041C0700X	Clinical Social Worker	CSW.09928139	CO

General Provider Information

NPI Number	:	1366182669
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. AMBER WILL LCSW

Provider Business Mailing Address
First Line	:	6165 LEHMAN DR STE 102
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80918-5405
Country	:	US
Telephone Number	:	719-377-6192
Fax Number	:	719-496-4536

Provider Business Practice Location Address
First Line	:	6165 LEHMAN DR STE 102
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80918-5405
Country	:	US
Telephone Number	:	719-377-6192
Fax Number	:

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

Provider Enumeration Date	:	04/01/2022
Last Update Date	:	09/24/2025

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