Provider Demographics
NPI:1891211033
Name:DORAN, AMBER (MSW)
Entity Type:Individual
Prefix:
First Name:AMBER
Middle Name:
Last Name:DORAN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:347 3RD STREET
Mailing Address - Street 2:FIRST FLOOR
Mailing Address - City:BEAVER
Mailing Address - State:PA
Mailing Address - Zip Code:15009
Mailing Address - Country:US
Mailing Address - Phone:724-520-8539
Mailing Address - Fax:
Practice Address - Street 1:347 3RD ST
Practice Address - Street 2:FIRST FLOOR
Practice Address - City:BEAVER
Practice Address - State:PA
Practice Address - Zip Code:15009-1500
Practice Address - Country:US
Practice Address - Phone:724-520-8539
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-18
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0202491041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical