Provider Demographics
NPI:1609831817
Name:RINEHART, AMY M (MSW)
Entity Type:Individual
Prefix:MS
First Name:AMY
Middle Name:M
Last Name:RINEHART
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:821 PROSPECT AVE
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18018-5323
Mailing Address - Country:US
Mailing Address - Phone:484-648-0821
Mailing Address - Fax:855-877-3693
Practice Address - Street 1:821 PROSPECT AVE
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18018-5323
Practice Address - Country:US
Practice Address - Phone:484-648-0821
Practice Address - Fax:855-877-3693
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-19
Last Update Date:2011-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0151101041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PACW015110OtherLICENSE NUMBER