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 3 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