Provider Demographics
NPI:1720585565
Name:RUPERT, AMBER L (LCSW)
Entity Type:Individual
Prefix:
First Name:AMBER
Middle Name:L
Last Name:RUPERT
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:AMBER
Other - Middle Name:L
Other - Last Name:SCHLEMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:415 N 26TH ST STE 201
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:IN
Mailing Address - Zip Code:47904-2856
Mailing Address - Country:US
Mailing Address - Phone:765-446-6549
Mailing Address - Fax:765-446-6536
Practice Address - Street 1:357 N COLUMBIA ST
Practice Address - Street 2:
Practice Address - City:FRANKFORT
Practice Address - State:IN
Practice Address - Zip Code:46041-1635
Practice Address - Country:US
Practice Address - Phone:765-670-6480
Practice Address - Fax:765-670-6482
Is Sole Proprietor?:No
Enumeration Date:2018-04-09
Last Update Date:2024-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN34008116A1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical