Provider Demographics
NPI:1982009106
Name:COE, AMY (LSW)
Entity Type:Individual
Prefix:MS
First Name:AMY
Middle Name:
Last Name:COE
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 LIBERTY ST
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:PA
Mailing Address - Zip Code:16323-1053
Mailing Address - Country:US
Mailing Address - Phone:814-437-5770
Mailing Address - Fax:814-432-6688
Practice Address - Street 1:300 LIBERTY ST
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:PA
Practice Address - Zip Code:16323-1053
Practice Address - Country:US
Practice Address - Phone:814-437-5770
Practice Address - Fax:814-432-6688
Is Sole Proprietor?:No
Enumeration Date:2014-10-30
Last Update Date:2019-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW131215104100000X
PACW0210031041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker