Individual
AMY E DENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
630 W KEARNEY ST, SPRINGFIELD, MO 65803-2508
(417) 761-5300
Mailing address
1300 E BRADFORD PKWY, SPRINGFIELD, MO 65804-4264
(417) 761-5000
(417) 761-5011
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
2018038778
MO
1041C0700X
Clinical Social Worker
Primary
2018038778
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
490036995
—
MO
Enumeration date
10/11/2016
Last updated
04/29/2026
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