Provider Demographics
NPI:1730977067
Name:FERNANDEZ, AMBER BROOKE (MSW)
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:BROOKE
Last Name:FERNANDEZ
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:AMBER
Other - Middle Name:BROOKE
Other - Last Name:LUMLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:204 E FELTON RD APT 209
Mailing Address - Street 2:
Mailing Address - City:CARTERSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30121-2202
Mailing Address - Country:US
Mailing Address - Phone:912-539-1800
Mailing Address - Fax:
Practice Address - Street 1:137 N ERWIN ST
Practice Address - Street 2:
Practice Address - City:CARTERSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30120-3123
Practice Address - Country:US
Practice Address - Phone:912-539-1800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-28
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker