Provider Demographics
NPI:1689009300
Name:RITCHEY, AMBER (LCSW)
Entity Type:Individual
Prefix:MS
First Name:AMBER
Middle Name:
Last Name:RITCHEY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:AMBER
Other - Middle Name:
Other - Last Name:FREELS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:5200 WASHINGTON AVE
Mailing Address - Street 2:STE D
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47715-4863
Mailing Address - Country:US
Mailing Address - Phone:812-437-1700
Mailing Address - Fax:812-437-1702
Practice Address - Street 1:5200 WASHINGTON AVE
Practice Address - Street 2:STE D
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47715-4863
Practice Address - Country:US
Practice Address - Phone:812-437-1700
Practice Address - Fax:812-437-1702
Is Sole Proprietor?:No
Enumeration Date:2013-09-12
Last Update Date:2019-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN34006771A1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN34006771AOtherLCSW LICENSE
IN200377220AMedicaid