Amanda Abdeldayem, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

09636801 Issued in NY

Practice address

85 Saint Josephs Ave
Staten Island, NY 10302-1115

Phone

(718) 226-9000

NPI assigned

Nov 15, 2019

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 8, 2023.

{
    "created_epoch": "1573776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1154966976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 MILL RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103064714",
            "telephone_number": "347-701-0063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 SAINT JOSEPHS AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103021115",
            "telephone_number": "718-226-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDELDAYEM",
        "first_name": "AMANDA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-15",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "09636801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amera Abdalla
• Dalya Abdel-Atti, MD
• Raghad Abdelaal
• Awatef Abdelaziz
• Mohamed Abdelaziz
• Ibrahim Farouk Abdelfatah, PHYSICAL THERAPIST
• Mona Abdelgawad
• Shady Abdelhalim
• Manal M Abdellatif
• Nabil Abdelmalak, MD

• All providers in Staten Island, NY
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.