Fludd, Amanda
Fludd, Amanda is an sole proprietor health care provider with primary practice located at 381 Sunrise Hwy Ste 602 , Lynbrook NY 11563-3006. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Fludd, Amanda can be contacted via phone (718) 208-3914.Contact Information
Primary practice address
381 Sunrise Hwy Ste 602
Lynbrook NY 11563-3006
Phone: (718) 208-3914
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Social Worker | 104100000X | 074608-1 | New York |
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 081057 | New York |
Profile Details
NPI number | 1184822587 |
---|---|
LBN Legal business name | Fludd, Amanda |
Credentials | Licensed Clinical Social Worker (LCSW) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 6th, 2007 |
Last updated | Jun 24th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1184822587 | NPPES |
New York | MEDICAID | 1184822587 |
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