Amy L Schrupp, CSW-PIP, LAC
Social Worker, Clinical in Ellsworth Afb, SD. Individual provider (NPI-1).
NPI number1285056366
StatusActive
Last updated in NPPESApr 8, 2022
Details
- NPI
- 1285056366
- Entity type
- Individual (NPI-1)
- Name
- Amy L Schrupp
- Credential
- CSW-PIP, LAC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 9, 2014
- Certification date
- Apr 8, 2022
- Last updated
- Apr 8, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 6076 | SD | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 13031561 | SD |
Other names
- Amy Lynn Cantral (Former Name)
Practice location
2900 Doolittle Dr Bldg 6000Ellsworth Afb, SD 57706-4821
Phone 605-385-3656 · Fax 605-385-2030
Mailing address
2900 Doolittle Dr Bldg 6000Ellsworth Afb, SD 57706-4821
Phone 605-385-3656 · Fax 605-385-2030
Other practice locations
123 19th St Ne
Watertown, SD 57201-2823
Watertown, SD 57201-2823
Phone 605-886-0123 · Fax 605-886-0123
350 Elk St
Rapid City, SD 57701
Rapid City, SD 57701
Phone 605-343-7262 · Fax 605-343-7293
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Other Clinical Social Worker providers in Ellsworth Afb, SD
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- Nakita L. MeeksNPI 1265981138
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All 14 Clinical Social Worker providers in Ellsworth Afb · All 96 providers in Ellsworth Afb
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