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NPI Code Detail

MEDICARE: AMBER CURTISS LISW-S

MEDICARE: AMBER CURTISS LISW-S
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 WorkerI.1440509OH
2104100000XSocial WorkerI.1440509-SUPVOH

General Provider Information

NPI Number : 1780983080
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMBER CURTISS LISW-S
Provider Business Mailing Address
First Line : 615 ELSINORE PL STE 200
Second Line :
City : CINCINNATI
State : OH
Zip : 45202-1457
Country : US
Telephone Number : 513-834-7063
Fax Number :
Provider Business Practice Location Address
First Line : 2210 S RIDGE RD E
Second Line :
City : ASHTABULA
State : OH
Zip : 44004-4459
Country : US
Telephone Number : 833-510-4357
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2011
Last Update Date : 01/13/2022

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Directions to “ AMBER CURTISS LISW-S” Practice Location

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