Provider Demographics
NPI:1578375184
Name:MILLER, AMY LIU (ASW)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:LIU
Last Name:MILLER
Suffix:
Gender:F
Credentials:ASW
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:LISA
Other - Last Name:LIU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:750 NATALIE DR
Mailing Address - Street 2:
Mailing Address - City:WINDSOR
Mailing Address - State:CA
Mailing Address - Zip Code:95492-8821
Mailing Address - Country:US
Mailing Address - Phone:707-620-1810
Mailing Address - Fax:
Practice Address - Street 1:750 NATALIE DR
Practice Address - Street 2:
Practice Address - City:WINDSOR
Practice Address - State:CA
Practice Address - Zip Code:95492-8821
Practice Address - Country:US
Practice Address - Phone:707-620-1810
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-21
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAASW93960101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health