Provider Demographics
NPI:1033682414
Name:COREY, AMBER J (LCSW-PIP)
Entity Type:Individual
Prefix:MRS
First Name:AMBER
Middle Name:J
Last Name:COREY
Suffix:
Gender:F
Credentials:LCSW-PIP
Other - Prefix:MISS
Other - First Name:AMBER
Other - Middle Name:J
Other - Last Name:WIESER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2500 W 49TH ST STE 103
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57105-6559
Mailing Address - Country:US
Mailing Address - Phone:605-271-4813
Mailing Address - Fax:605-271-4815
Practice Address - Street 1:2500 W 49TH ST STE 103
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57105-6559
Practice Address - Country:US
Practice Address - Phone:605-271-4813
Practice Address - Fax:605-271-4815
Is Sole Proprietor?:No
Enumeration Date:2019-01-08
Last Update Date:2023-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD50381041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical