Amber Street, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0000006334 Issued in TN

Practice address

403 Princeton Rd Ste 2
Johnson City, TN 37601-2040

Phone

(423) 297-8351

NPI assigned

Jul 11, 2016

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1468195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470873600000",
    "number": "1902258239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "393 MAX JETT RD",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376016265",
            "telephone_number": "423-502-2869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 PRINCETON RD STE 2",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376012040",
            "telephone_number": "423-297-8351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STREET",
        "first_name": "AMBER",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-11",
        "last_updated": "2016-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "0000006334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Deanne Story, M.S., CCC-SLP
• Rachel Leann Stout-Cunnyngham, NP
• Amanda Ann Stratton, MOT, OTR/L
• Samuel Alexander Straus, DPM
• Chris F Strawn, PA
• Franna Nicole Street, RN
• Haley N Street
• Jacob Street, PHARMD
• Kirsten N Street
• Charles S Stuart, MD

• Clinical Social Worker in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Clinical Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2016; 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.