Wayne, Amanda

Wayne, Amanda is an sole proprietor health care provider with primary practice located at 6 Park Ave , Flemington NJ 08822-1319. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Wayne, Amanda can be contacted via phone (908) 782-7905.

Contact Information

Primary practice address
6 Park Ave Flemington NJ 08822-1319
Phone: (908) 782-7905
Fax: (908) 782-5934
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 44SC04505400 New Jersey
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 44SC04505400 New Jersey

Profile Details

NPI number 1184054736
LBN Legal business name Wayne, Amanda
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 19th, 2013
Last updated Sep 16th, 2016 - about 8 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 1184054736 NPPES
New Jersey MEDICAID 0087866

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