Frostad, Amanda
Frostad, Amanda is an individual health care provider with primary practice located at 7550 S State St , Lowville NY 13367-1574. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Frostad, Amanda can be contacted via phone (315) 376-5450.Contact Information
Primary practice address
7550 S State St
Lowville NY 13367-1574
Phone: (315) 376-5450
Fax: (315) 376-7221
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ||
Behavioral Health & Social Service Providers / Social Worker | 104100000X |
Profile Details
NPI number | 1225696743 |
---|---|
LBN Legal business name | Frostad, Amanda |
Credentials | LMSW |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 30th, 2019 |
Last updated | Oct 13th, 2020 - about 5 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 | 1225696743 | NPPES |
New York | MEDICAID | 02996087 | |
New York | MEDICAID | 03001594 |
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