Individual
MS. AMBERLEY JEAN ROBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW, CASAC
Contact information
Practice address
39 DUNCAN ST, WARSAW, NY 14569
(585) 786-0190
(585) 786-0196
Mailing address
7351 BLACK STREET RD, LE ROY, NY 14482-8951
(585) 770-3403
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
24563
NY
1041C0700X
Clinical Social Worker
078911
NY
1041C0700X
Clinical Social Worker
Primary
085857-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000819000
BLUE CROSS BLUE SHIELD OF WESTERN NEW YORK
NY
01
—
00030194303
UNIVERA
NY
05
—
02249145
—
NY
01
—
8406307
INDEPENDENT HEALTH
NY
01
—
P014006101
EXCELLUS
NY
Enumeration date
09/12/2007
Last updated
07/12/2018
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