IndividualActive
Amy Takashima, LCSW
NPI 1679601660 · Clinical Social Worker · Fort Campbell, KY
Provider details
- NPI number
- 1679601660
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- License
- 149.013832 (IL)
Mailing address
650 Joel Dr
Fort Campbell, KY 42223-5318
Registry dates
- Enumerated
- 2007-03-01
- Last updated
- 2025-05-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.