Provider Demographics
NPI:1629707518
Name:MARKER, AMY LYNN (CSW, QMHP)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:LYNN
Last Name:MARKER
Suffix:
Gender:F
Credentials:CSW, QMHP
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:LYNN
Other - Last Name:FEIOCK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4447 S CANYON RD STE 6
Mailing Address - Street 2:
Mailing Address - City:RAPID CITY
Mailing Address - State:SD
Mailing Address - Zip Code:57702-1889
Mailing Address - Country:US
Mailing Address - Phone:605-484-8424
Mailing Address - Fax:
Practice Address - Street 1:4447 S CANYON RD STE 6
Practice Address - Street 2:
Practice Address - City:RAPID CITY
Practice Address - State:SD
Practice Address - Zip Code:57702-1889
Practice Address - Country:US
Practice Address - Phone:605-484-8424
Practice Address - Fax:605-872-5166
Is Sole Proprietor?:No
Enumeration Date:2022-06-07
Last Update Date:2025-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD67291041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical