Provider Demographics
NPI:1821128893
Name:BIEGEL, AMY (MSW, LCSW)
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:
Last Name:BIEGEL
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 431
Mailing Address - Street 2:1515 SUTTON CIRCLE DR. NORTH
Mailing Address - City:BLUFFTON
Mailing Address - State:IN
Mailing Address - Zip Code:46714-0431
Mailing Address - Country:US
Mailing Address - Phone:260-824-1330
Mailing Address - Fax:
Practice Address - Street 1:1515 SUTTON CIRCLE DR N
Practice Address - Street 2:
Practice Address - City:BLUFFTON
Practice Address - State:IN
Practice Address - Zip Code:46714-1142
Practice Address - Country:US
Practice Address - Phone:260-824-1330
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-07
Last Update Date:2009-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN34004642A1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000213542OtherBLUE CROSS BLUE SHIELD
IN7589605OtherAETNA
IN2014536OtherCIGNA BEHAVIORAL HEALTH
IN710335000OtherMAGELLAN
IN710335000OtherMAGELLAN