Provider Demographics
NPI:1235518325
Name:HARTNETT, AMBER K (MSW, LCSW-QS, MCAP)
Entity Type:Individual
Prefix:MS
First Name:AMBER
Middle Name:K
Last Name:HARTNETT
Suffix:
Gender:F
Credentials:MSW, LCSW-QS, MCAP
Other - Prefix:
Other - First Name:AMBER
Other - Middle Name:
Other - Last Name:JOYCE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:160 ISLAND BEACH BLVD
Mailing Address - Street 2:
Mailing Address - City:MERRITT ISLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32952-5016
Mailing Address - Country:US
Mailing Address - Phone:321-613-8685
Mailing Address - Fax:321-522-4544
Practice Address - Street 1:160 ISLAND BEACH BLVD
Practice Address - Street 2:
Practice Address - City:MERRITT ISLAND
Practice Address - State:FL
Practice Address - Zip Code:32952-5016
Practice Address - Country:US
Practice Address - Phone:321-613-8685
Practice Address - Fax:321-522-4544
Is Sole Proprietor?:No
Enumeration Date:2015-05-22
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI101YA0400X
WI8593-123101YA0400X
WI18044-130101YA0400X
FLMCAP100902101YA0400X
WI129174-1211041C0700X
MO20220041761041C0700X
FLSW150401041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)