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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184822587 NPPES
New York MEDICAID 1184822587

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