Amanda Agosto, LMSW
Individual provider Active NPI Social Worker · Poughkeepsie, NY
NPI 1376213801 · NPPES record last updated Nov 4, 2022
Key facts
- NPI
- 1376213801
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 118211 (NY)
- Practice address
- 230 North Rd
Poughkeepsie, NY 12601-1328 - Phone
- (845) 486-2703
- NPI assigned
- Sep 16, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 118211 | NY | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 118211 | NY | Yes |
Addresses
Primary practice location
230 North Rd
Poughkeepsie, NY 12601-1328
Mailing address
29 N Hamilton St Ste 314
Poughkeepsie, NY 12601-2541
Phone (845) 486-2703
Other providers in Poughkeepsie, NY
- Vinita Agarwal
- Andrea Agas
- Nneoma Marygold Agbo
- Kavita Aggarwal
- Glenn F. Agoliati
- Martha Agresta
- Stephany Agudelo
- Demetrio A. Aguila Jr.
- Mridasim O Aguwa
- Alon S Aharon
All providers in Poughkeepsie, NY · Social Worker in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 4, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.