Provider Demographics
NPI:1316179310
Name:KUEHL, AMY C (LCSW)
Entity Type:Individual
Prefix:MS
First Name:AMY
Middle Name:C
Last Name:KUEHL
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 1:600 5TH ST
Mailing Address - Street 2:STE 201
Mailing Address - City:AMES
Mailing Address - State:IA
Mailing Address - Zip Code:50010-6072
Mailing Address - Country:US
Mailing Address - Phone:515-520-1896
Mailing Address - Fax:515-292-5044
Practice Address - Street 1:600 5TH ST
Practice Address - Street 2:STE 201
Practice Address - City:AMES
Practice Address - State:IA
Practice Address - Zip Code:50010-6072
Practice Address - Country:US
Practice Address - Phone:515-520-1896
Practice Address - Fax:515-292-5044
Is Sole Proprietor?:No
Enumeration Date:2009-08-10
Last Update Date:2020-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA068051041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IAIB1786Medicare PIN