Provider Demographics
NPI:1669281911
Name:BALTING, AMY JO (LCSW)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:JO
Last Name:BALTING
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:JO
Other - Last Name:HERBERT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:105 W CHERRY ST
Mailing Address - Street 2:
Mailing Address - City:BLUFFTON
Mailing Address - State:IN
Mailing Address - Zip Code:46714-2008
Mailing Address - Country:US
Mailing Address - Phone:260-307-5030
Mailing Address - Fax:260-307-5461
Practice Address - Street 1:37 E WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:SHELBYVILLE
Practice Address - State:IN
Practice Address - Zip Code:46176-1363
Practice Address - Country:US
Practice Address - Phone:260-307-5030
Practice Address - Fax:260-307-5461
Is Sole Proprietor?:No
Enumeration Date:2025-01-02
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical