Provider Demographics
NPI:1093517203
Name:UHLIG, AMY LOUISE (LCSW)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:LOUISE
Last Name:UHLIG
Suffix:
Gender:
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1323 E VILLA VISTA AVE APT 622
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84106-4833
Mailing Address - Country:US
Mailing Address - Phone:678-640-1493
Mailing Address - Fax:
Practice Address - Street 1:1323 E VILLA VISTA AVE APT 622
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84106-4833
Practice Address - Country:US
Practice Address - Phone:678-640-1493
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-26
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT11126950-35011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical