Amy Gail Davis, SOCIAL WORK

Individual provider Active NPI Clinical Social Worker · Montrose, NY

NPI 1295889269 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1295889269
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
074361 (NY)
Practice address
2094 Albany Post Rd
Montrose, NY 10548-1454
Phone
(914) 737-4400
Fax
(914) 788-4362
NPI assigned
Jan 23, 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
074361NYMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 074361 NY Yes

Addresses

Primary practice location

2094 Albany Post Rd
Montrose, NY 10548-1454

Mailing address

189 Grand St
Newburgh, NY 12550-4618
Phone (845) 325-9381

Other providers in Montrose, NY

All providers in Montrose, NY · Clinical Social Worker in New York

Sources for this page

Verify at the official NPI Registry.