Amanda Magalhaes Dejesus, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

115969 Issued in NY

Practice address

1413 Stony Brook Rd
Stony Brook, NY 11790-2214

Phone

(631) 444-4400

NPI assigned

Mar 9, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Long Island Adolescent & Family Service,Inc

  • Health Service Clinic/Center
  • Stony Brook, NY
  • NPI 1992901722
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1678320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678320000000",
    "number": "1992405732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 ARTHUR ST",
            "city": "SELDEN",
            "state": "NY",
            "postal_code": "117842123",
            "telephone_number": "631-880-8942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1413 STONY BROOK RD",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117902214",
            "telephone_number": "631-444-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEJESUS",
        "first_name": "AMANDA",
        "middle_name": "MAGALHAES",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-09",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "115969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Grace Deehan
• Thomas Joseph Degnan, MD
• Doyle Norman Degraw, LIMITED LMHC
• Michele L Degraw, NP
• Francesca Helen Deieso-Frechette, MD
• Erin Elizabeth Delaney, PA-C
• Kristen M Delaney, M.D.
• Michelle Delemos, MD
• Stephen L Deleon
• Yahira Deleon, MSW

• All providers in Stony Brook, NY
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.