Amanda Shanielle Acevedo, LMSW
Individual provider Active NPI Social Worker · Islandia, NY
NPI 1942923628 · NPPES record last updated Sep 19, 2022
Key facts
- NPI
- 1942923628
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 097228 (NY)
- Practice address
- 1777 Veterans Memorial Hwy Ste 14
Islandia, NY 11749-1555 - Phone
- (631) 212-2405
- NPI assigned
- Sep 19, 2022
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 097228 | NY | Yes |
Addresses
Primary practice location
1777 Veterans Memorial Hwy Ste 14
Islandia, NY 11749-1555
Mailing address
15 New York Ave
Bay Shore, NY 11706-3106
Phone (631) 398-3122
Other providers in Islandia, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 19, 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.