Provider Demographics
NPI:1831072578
Name:PAULES, AMBER MARIE (LCSW)
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:MARIE
Last Name:PAULES
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2590 LORAY AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTH WILLIAMSPORT
Mailing Address - State:PA
Mailing Address - Zip Code:17702-6400
Mailing Address - Country:US
Mailing Address - Phone:570-220-1107
Mailing Address - Fax:
Practice Address - Street 1:2590 LORAY AVE
Practice Address - Street 2:
Practice Address - City:SOUTH WILLIAMSPORT
Practice Address - State:PA
Practice Address - Zip Code:17702-6400
Practice Address - Country:US
Practice Address - Phone:570-220-1107
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-29
Last Update Date:2025-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW024691041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical