Provider Demographics
NPI:1639040470
Name:BOBB, AMY L (LCSW)
Entity type:Individual
Prefix:MS
First Name:AMY
Middle Name:L
Last Name:BOBB
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 1:610 FREEDOM BUSINESS CTR DR
Mailing Address - Street 2:
Mailing Address - City:KING OF PRUSSIA
Mailing Address - State:PA
Mailing Address - Zip Code:19406-1329
Mailing Address - Country:US
Mailing Address - Phone:484-224-7913
Mailing Address - Fax:484-224-7914
Practice Address - Street 1:610 FREEDOM BUSINESS CTR DR
Practice Address - Street 2:
Practice Address - City:KING OF PRUSSIA
Practice Address - State:PA
Practice Address - Zip Code:19406-1329
Practice Address - Country:US
Practice Address - Phone:484-224-7913
Practice Address - Fax:484-224-7914
Is Sole Proprietor?:No
Enumeration Date:2025-09-15
Last Update Date:2025-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW133299104100000X
PA1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical