Individual ProviderAmber HoltSocial WorkerBehavioral Health & Social Service ProvidersPractice Address7901 Skansie Ave Ste 240, Gig Harbor, WA 98335-8349(360) 218-4333PECOS EnrollmentBased on the most recent information from CMS, provider Amber Holt is legally eligible to order and refer claims for Part B and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 11 days ago.Profile DetailsProvider ID1588703375Provider TypeIndividualFull NameHolt, AmberCredentialMSW, LICSWGenderFemaleSole ProprietorYesEnumeration Date2/6/2007Last Updated10/8/2020Contact InformationPractice LocationPractice Address7901 Skansie Ave Ste 240, Gig Harbor, WA 98335-8349Phone(360) 218-4333Fax(253) 363-9168Mailing LocationMailing Address7901 Skansie Ave Ste 240, Gig Harbor, WA 98335-8349Phone(360) 218-4333Fax(253) 363-9168Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseLW 60635493WashingtonCode101YM0800XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseLW 60635493Washington