Provider Demographics
NPI:1063467959
Name:UNREIN, AMY E (LCSW)
Entity Type:Individual
Prefix:MS
First Name:AMY
Middle Name:E
Last Name:UNREIN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:211 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:STERLING
Mailing Address - State:CO
Mailing Address - Zip Code:80751-3168
Mailing Address - Country:US
Mailing Address - Phone:970-522-4549
Mailing Address - Fax:970-522-6898
Practice Address - Street 1:910 E RAILROAD AVE
Practice Address - Street 2:
Practice Address - City:FORT MORGAN
Practice Address - State:CO
Practice Address - Zip Code:80701-3399
Practice Address - Country:US
Practice Address - Phone:970-867-4924
Practice Address - Fax:970-867-2695
Is Sole Proprietor?:No
Enumeration Date:2006-05-23
Last Update Date:2015-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO099238691041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS393038OtherBLUE CROSS BLUE SHIELD
KS14232OtherPREFERRED HEALTH SYSTEMS
KSQ60768Medicare UPIN
KS393038Medicare ID - Type Unspecified