Longworth-Wolfe, Amber D

Longworth-Wolfe, Amber D is an individual health care provider with primary practice located at 1203 American Greeting Card Rd , Corbin KY 40701-4811. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Longworth-Wolfe, Amber D can be contacted via phone (606) 528-7010.

Contact Information

Primary practice address
1203 American Greeting Card Rd Corbin KY 40701-4811
Fax: (606) 528-5401
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 5325 Tennessee
Behavioral Health & Social Service Providers / Clinical 1041C0700X 4051 Kentucky

Profile Details

NPI number 1447377387
LBN Legal business name Longworth-Wolfe, Amber D
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2007
Last updated Jan 25th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447377387 NPPES
Kentucky MEDICAID 7100376360

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