Provider Demographics
NPI:1710698980
Name:STEWARD, AMBER NICOLE (LCSW)
Entity Type:Individual
Prefix:
First Name:AMBER
Middle Name:NICOLE
Last Name:STEWARD
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:AMBER
Other - Middle Name:NICOLE
Other - Last Name:TOBIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:464 GRAYS CREEK RD
Mailing Address - Street 2:
Mailing Address - City:GRANTS PASS
Mailing Address - State:OR
Mailing Address - Zip Code:97527-9497
Mailing Address - Country:US
Mailing Address - Phone:541-761-3903
Mailing Address - Fax:
Practice Address - Street 1:464 GRAYS CREEK RD
Practice Address - Street 2:
Practice Address - City:GRANTS PASS
Practice Address - State:OR
Practice Address - Zip Code:97527-9497
Practice Address - Country:US
Practice Address - Phone:541-761-3903
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-08
Last Update Date:2022-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical