About

Amber Fawn Gentrysouthard is a Clinical Social Worker in Puyallup, Washington. She graduated in 2005. She has over 16 years of experience. Amber F. Gentrysouthard is a group member of Multicare Health System. Contact Amber Fawn Gentrysouthard to request her Medicare information, payment methods she accepts, or to book an appointment.

Basic Data

PECOS ID: 4587827209

Entity Type: Individual; Not Sole Proprietor

Accepts Med Assignment: She does accept the payment amount Medicare approves and not to bill you for more than the Medicare deductible and coinsurance.

Organization Name: Multicare Health Systems

Gender

Female

Years in Practice

16 years

Healthcare Provider Taxonomy

  • Code: 1041C0700X
  • Grouping: Behavioral Health & Social Service Providers
  • Classification: Social Worker
  • Specialization: Clinical

Credentials

  • Master of Social Work (M.S.W)
  • Licensed Independent Clinical Social Worker (LICSW)

Group Practices

Group practices this therapist belongs to includes:

Multicare Health System
Address 4545 Point Fosdick Dr
Gig Harbor, WA 98335-1700
Group PAC ID 7719899897
Group Members 1661
Multicare Health System
Address 1901 S Union Ave
Tacoma, WA 98405-1702
Group PAC ID 7719899897
Group Members 1661
Multicare Health System
Address 4700 Point Fosdick Dr
Gig Harbor, WA 98335-1706
Group PAC ID 7719899897
Group Members 1661

Licenses

Name License Number State
LICSW LW 60072190 Verify WA

Education

Year Graduated
2005

Practice Locations

325 E Pioneer

Puyallup, WA 98372-3265

Phone Number: (253) 445-8120

Fax Number: (253) 697-3730

4545 Point Fosdick Dr

Gig Harbor, WA 98335-1700

Phone Number: (253) 530-8011

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