Individual ProviderAmber Dawn PriddySocial WorkerBehavioral Health & Social Service ProvidersPractice Address800 Zorn Ave, Louisville, KY 40206-1433(502) 287-4000PECOS EnrollmentBased on the most recent information from CMS, provider Amber Dawn Priddy does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 9:43 AM.Profile DetailsProvider ID1093244253Provider TypeIndividualFull NamePriddy, Amber DawnCredentialLCSWGenderFemaleSole ProprietorYesEnumeration Date6/9/2017Last Updated6/9/2017Contact InformationPractice LocationPractice Address800 Zorn Ave, Louisville, KY 40206-1433Phone(502) 287-4000FaxUnlisted FaxMailing LocationMailing Address800 Zorn Ave, Louisville, KY 40206-1433PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense252647KentuckyProvider IdentifiersIDDescriptionIssuerID252647DescriptionOtherIssuerNASWFlorida