MEDICARE: AMBER LEANN STRONG 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	171M00000X	Case Manager/Care Coordinator
2	1041C0700X	Clinical Social Worker	LCSW61550	CA

General Provider Information

NPI Number	:	1790804474
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMBER LEANN STRONG LCSW

Provider Business Mailing Address
First Line	:	PO BOX 1000
Second Line	:
City	:	BAKERSFIELD
State	:	CA
Zip	:	93302-1000
Country	:	US
Telephone Number	:	661-852-2742
Fax Number	:

Provider Business Practice Location Address
First Line	:	4900 CALIFORNIA AVE
Second Line	:	TOWER A SUITE 200
City	:	BAKERSFIELD
State	:	CA
Zip	:	93309-7024
Country	:	US
Telephone Number	:	661-868-6750
Fax Number	:	661-868-6752

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

Provider Enumeration Date	:	03/27/2007
Last Update Date	:	12/22/2021

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