Individual
AMY WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-S
Contact information
Practice address
11693 SUMMERLAND BEACH RD NE, MILLERSPORT, OH 43046-8021
(440) 879-8585
Mailing address
11693 SUMMERLAND BEACH RD NE, MILLERSPORT, OH 43046-8021
(440) 879-8585
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.1200894-SUPV
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01622393
—
OH
05
—
2871101
—
OH
Enumeration date
08/14/2012
Last updated
03/23/2026
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