Provider Demographics
NPI:1568350346
Name:AMBER MCKINNEY-MORGAN LICENSED CLINICAL SOCIAL WORKER PROFESSIONAL CORP.
Entity type:Organization
Organization Name:AMBER MCKINNEY-MORGAN LICENSED CLINICAL SOCIAL WORKER PROFESSIONAL CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:AMBER
Authorized Official - Middle Name:
Authorized Official - Last Name:MCKINNEY-MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:619-292-8146
Mailing Address - Street 1:4257 CARTULINA RD
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92124-2701
Mailing Address - Country:US
Mailing Address - Phone:619-564-0806
Mailing Address - Fax:
Practice Address - Street 1:6030 SANTO RD. STE. 1 #420605
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92124
Practice Address - Country:US
Practice Address - Phone:619-292-8146
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-27
Last Update Date:2025-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)