Individual provider Active NPI

Amanda Brzezinski, LCSW

  • Clinical Social Worker
  • West Seneca, NY
National Provider Identifier
1144849761
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
089359 Issued in NY
Practice address
1010 East and West Rd
West Seneca, NY 14224-3602
Phone
(716) 677-7128
NPI assigned
Apr 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 089359 NY Primary

Addresses

Primary practice location

1010 East and West Rd
West Seneca, NY 14224-3602

Mailing address

1010 E and West Rd
West Seneca, NY 14224-3698
Phone (716) 677-7128

Other names 1

  • Amanda Bartoszek Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
089359NYMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1586822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1144849761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 E AND WEST RD",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142243698",
            "telephone_number": "716-677-7128",
            "fax_number": "716-677-7073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 EAST AND WEST RD",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142243602",
            "telephone_number": "716-677-7128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRZEZINSKI",
        "first_name": "AMANDA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-14",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "089359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "BARTOSZEK",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Seneca, NY

Sources for this page

Verify at the official NPI Registry.