Provider Demographics
NPI:1629680202
Name:FRANZEL, AMBER KELLY (LICSW, LCSW)
Entity Type:Individual
Prefix:
First Name:AMBER
Middle Name:KELLY
Last Name:FRANZEL
Suffix:
Gender:F
Credentials:LICSW, LCSW
Other - Prefix:
Other - First Name:AMBER
Other - Middle Name:KELLY
Other - Last Name:WEISHEIM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1501 BLUE SPRUCE DR
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80524-2004
Mailing Address - Country:US
Mailing Address - Phone:970-498-7754
Mailing Address - Fax:
Practice Address - Street 1:1501 BLUE SPRUCE DR
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80524-2004
Practice Address - Country:US
Practice Address - Phone:970-498-7754
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-17
Last Update Date:2020-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1142881041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical