Amy Elizabeth Bodine, LSW
Individual provider Active NPI Clinical Social Worker · Matawan, NJ
NPI 1902397979 · NPPES record last updated May 24, 2018
Key facts
- NPI
- 1902397979
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 44SL06320200 (NJ)
- Practice address
- 166 Main St
Matawan, NJ 07747-3104 - Phone
- (732) 290-9040
- NPI assigned
- May 24, 2018
- 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 |
|---|---|---|---|
| 44SL06320200 | NJ | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SL06320200 | NJ | Yes |
Addresses
Primary practice location
166 Main St
Matawan, NJ 07747-3104
Mailing address
166 Main St
Matawan, NJ 07747-3104
Other names
- Miss Amy Elizabeth Mackenzie
Other providers in Matawan, NJ
- William F Berg
- Tarlochan S Bhambra
- Ramni Kaur Bhatia
- Meenakshi Shailesh Bhuta
- Katelynn D Bissett
- Veronica Bogomazova
- Ella Bolbat
- Katie Bonolo
- Eustina Botros
- Bounce Therapy Center NJ
All providers in Matawan, NJ · Clinical Social Worker in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 24, 2018. 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.