Provider Demographics
NPI:1417509613
Name:SEAMAN, AMBER TAMARA (MSW)
Entity Type:Individual
Prefix:
First Name:AMBER
Middle Name:TAMARA
Last Name:SEAMAN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:AMBER
Other - Middle Name:TAMARA
Other - Last Name:RITCHIE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:1265 VIA DE FOSSI
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33426-8243
Mailing Address - Country:US
Mailing Address - Phone:919-210-6160
Mailing Address - Fax:
Practice Address - Street 1:2001 BUE HERRON DRIVE
Practice Address - Street 2:
Practice Address - City:RIVIERA BEACH
Practice Address - State:FL
Practice Address - Zip Code:33404
Practice Address - Country:US
Practice Address - Phone:561-841-3400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-09
Last Update Date:2019-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
NAOtherNA