Amanda M Cuevas, CT-LCSW

Individual provider Active NPI Clinical Social Worker · Suffield, CT

NPI 1003010836 · NPPES record last updated May 15, 2018

Key facts

NPI
1003010836
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
006879 (CT)
Practice address
49 Valley View Dr
Suffield, CT 06078
Phone
(860) 578-7214
NPI assigned
Jun 14, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
006879CTMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Clinical Social Worker 1041C0700X 006879 CT Yes

Addresses

Primary practice location

49 Valley View Dr
Suffield, CT 06078

Mailing address

49 Valley View Dr
Suffield, CT 06078-1423
Phone (860) 578-7214

Other practice location 1

8745 County Road 9 S
Alamosa, CO 81101
Phone (719) 589-3671

Other providers in Suffield, CT

All providers in Suffield, CT · Clinical Social Worker in Connecticut

Sources for this page

Verify at the official NPI Registry.