Susan Blake Amory, CSW, LPC is a
Counselor - Professional based in Cheyenne, Wyoming. Susan Blake Amory is licensed to practice in Wyoming (license number 1725) and her current practice location is
300 E 17th St, Cheyenne, Wyoming. She can be reached at her office (for appointments etc.) via phone at
(307) 631-9931.
NPI number for Susan Blake Amory is 1679975635 and her current mailing address is 1914 Thomes Ave, Cheyenne, Wyoming. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1679975635.
Healthcare Provider's Profile
| Full Name | Susan Blake Amory |
|---|
| Gender | Female |
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| Speciality | Counselor - Professional |
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| Location | 300 E 17th St, Cheyenne, Wyoming |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1679975635
- Provider Enumeration Date: 09/22/2014
- Last Update Date: 07/31/2018
Medical Identifiers
Medical identifiers for Susan Blake Amory such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1679975635 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | 235 (Wyoming) | Secondary |
| 101YP2500X | Counselor - Professional | 1725 (Wyoming) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Susan Blake Amory is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Susan Blake Amory, CSW, LPC
1914 Thomes Ave,
Cheyenne, WY 82001-3527
Ph: (307) 631-9931 | Susan Blake Amory, CSW, LPC
300 E 17th St,
Cheyenne, WY 82001
Ph: (307) 631-9931 |
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