Provider Demographics
NPI:1093313215
Name:LOUER, AMY
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:LOUER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1663 MISSION ST STE 604
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94103-2473
Mailing Address - Country:US
Mailing Address - Phone:415-474-7310
Mailing Address - Fax:415-673-2488
Practice Address - Street 1:1663 MISSION ST STE 604
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94103-2473
Practice Address - Country:US
Practice Address - Phone:415-474-7310
Practice Address - Fax:415-673-2488
Is Sole Proprietor?:No
Enumeration Date:2020-10-09
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAASW105995101Y00000X
390200000X, 101Y00000X
CA104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program