Provider Demographics
NPI:1598919706
Name:STROBEL, AMY T (LCSW)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:T
Last Name:STROBEL
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 1:4400 WASHINGTON AVE
Mailing Address - Street 2:#310
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47714-0887
Mailing Address - Country:US
Mailing Address - Phone:812-760-5915
Mailing Address - Fax:812-477-2378
Practice Address - Street 1:4400 WASHINGTON AVE
Practice Address - Street 2:#310
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47714-0887
Practice Address - Country:US
Practice Address - Phone:812-760-5915
Practice Address - Fax:812-477-2378
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-14
Last Update Date:2009-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN34003345A1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical