Provider Demographics
NPI:1083043293
Name:ABLE, AMBER (CSW)
Entity Type:Individual
Prefix:
First Name:AMBER
Middle Name:
Last Name:ABLE
Suffix:
Gender:F
Credentials:CSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 ARTERBURN DR
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40222-4801
Mailing Address - Country:US
Mailing Address - Phone:502-551-0071
Mailing Address - Fax:502-899-5411
Practice Address - Street 1:109 ARTERBURN DR
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40222-4801
Practice Address - Country:US
Practice Address - Phone:502-551-0071
Practice Address - Fax:502-899-5411
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-07
Last Update Date:2013-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY6436104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker