Active NPI
Amanda E Snizek, LCSW
- Social Worker
- Massapequa Park, NY
National Provider Identifier
1194316091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 107715-01
- Practice address
- 4770 Sunrise Hwy Ste 105
Massapequa Park, NY 11762-2911 - Phone
- (800) 871-5491
- NPI assigned
- Feb 2, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 107715-01 | NY | Primary |
Addresses
Primary practice location
4770 Sunrise Hwy Ste 105
Massapequa Park, NY 11762-2911
Mailing address
4770 Sunrise Hwy Ste 105
Massapequa Park, NY 11762-2911
Phone (800) 871-5491
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 107715-01 | Other | NY | SOCIAL WORK LICENSURE |
| 096918-01 | Other | NY | CLINICAL SOCIAL WORKER LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | asnizek@wavelengthspsychology.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 107715-01 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710979200000",
"number": "1194316091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4770 SUNRISE HWY STE 105",
"city": "MASSAPEQUA PARK",
"state": "NY",
"postal_code": "117622911",
"telephone_number": "800-871-5491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4770 SUNRISE HWY STE 105",
"city": "MASSAPEQUA PARK",
"state": "NY",
"postal_code": "117622911",
"telephone_number": "800-871-5491"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNIZEK",
"first_name": "AMANDA",
"middle_name": "E",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-02",
"last_updated": "2024-03-21",
"certification_date": "2024-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "107715-01",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOCIAL WORK LICENSURE",
"identifier": "107715-01",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLINICAL SOCIAL WORKER LICENSE",
"identifier": "096918-01",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "asnizek@wavelengthspsychology.com",
"affiliation": "N",
"endpointDescription": "Secure Work Email through gsuite",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Email",
"address_1": "4770 Sunrise Hwy Ste 105",
"city": "Massapequa Park",
"state": "NY",
"country_code": "US",
"postal_code": "117622911",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Massapequa Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.