Amber Marie Sundland, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6821-C Issued in NV

Practice address

5578 Longley LN
Reno, NV 89511-1825

Phone

(775) 284-8650

Fax

(775) 284-8654

NPI assigned

Nov 8, 2012

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Amber Marie Weller Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1352332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520467200000",
    "number": "1861746182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9460 DOUBLE R BLVD",
            "address_2": "STE 101",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895216020",
            "telephone_number": "775-284-8650",
            "fax_number": "775-432-2339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5578 LONGLEY LN",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895111825",
            "telephone_number": "775-284-8650",
            "fax_number": "775-284-8654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNDLAND",
        "first_name": "AMBER",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-08",
        "last_updated": "2018-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "6821-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "WELLER",
            "middle_name": "MARIE",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Renee Manette Sumner
• Bethany Ann Sumpter
• Cassie Ann Sumpter
• Shining Sun, MD
• Sri Vidya Sundara, MD
• Kyle Lennon Sundland
• Kimberly Sundstrom
• Steven M. Sundstrom, DO
• Star Sunfate
• Sunny Rana, MD, PLLC

• Clinical Social Worker in Reno, NV
• Providers in Reno, NV by specialty
• Clinical Social Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.