Provider Demographics
NPI:1033247960
Name:LITTLER, AMY LEE (LCSW)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:LEE
Last Name:LITTLER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:LEE
Other - Last Name:BLOCK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:336 S ROCK HARBOR DR
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85233-6151
Mailing Address - Country:US
Mailing Address - Phone:480-588-6528
Mailing Address - Fax:480-292-7205
Practice Address - Street 1:3080 N CIVIC CENTER PLZ
Practice Address - Street 2:SUITE 22
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-6921
Practice Address - Country:US
Practice Address - Phone:480-588-6528
Practice Address - Fax:480-292-7205
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLCSW -118961041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical