Provider Demographics
NPI:1952757502
Name:MILES, AMBER (LCSW)
Entity type:Individual
Prefix:MISS
First Name:AMBER
Middle Name:
Last Name:MILES
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 SALEM ST STE 201
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:MA
Mailing Address - Zip Code:01867-4614
Mailing Address - Country:US
Mailing Address - Phone:833-394-7998
Mailing Address - Fax:855-746-8954
Practice Address - Street 1:34 SALEM ST STE 201
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:MA
Practice Address - Zip Code:01867-4614
Practice Address - Country:US
Practice Address - Phone:833-394-7998
Practice Address - Fax:855-746-8954
Is Sole Proprietor?:No
Enumeration Date:2016-05-12
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0907751041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical