Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amber Petisce

Individual provider Clinical Social Worker · NPI 1710621651

Amber Petisce is a Clinical Social Worker in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2022.

Licensed in
MI
In the registry since
2022
Specialties on file
2

Practice location Address checks out

1115 Ball Ave NE Bldg C
Grand Rapids, MI 49505-5904
Phone: (616) 459-7215
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 6851109818 (MI)
Clinical Social Worker Taxonomy 1041C0700X

Record details

NPI number1710621651
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 26, 2022
Last updated in NPPESApril 26, 2022
Certification dateApril 26, 2022

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