NPI 1275043697 · live from the CMS NPI Registry
Amy Albert, LCSW
Social Worker, Clinical in Janesville, WI. National Provider Identifier 1275043697, active.
NPI record
| NPI | 1275043697 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 1611 Center Ave, Janesville, WI 53546 |
| Practice phone | 608-554-3017 |
| Enumerated | October 11, 2017 |
| Last updated | October 11, 2017 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | 8750-123 (WI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.