Provider Demographics
NPI:1437308137
Name:SPRING, AMANDA RAE (LCSW)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:RAE
Last Name:SPRING
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 1:16 HORTON DR
Mailing Address - Street 2:
Mailing Address - City:CANDLER
Mailing Address - State:NC
Mailing Address - Zip Code:28715-8904
Mailing Address - Country:US
Mailing Address - Phone:315-391-5715
Mailing Address - Fax:
Practice Address - Street 1:65 LEES CREEK RD
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28806-4707
Practice Address - Country:US
Practice Address - Phone:315-391-5715
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-17
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0102171041C0700X
NCP0088491041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical