National Provider Identifier
Amanda J Diaz, LCSW
Amanda J Diaz, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Rochester, NY and a listed phone number of (315) 975-9450.
Profile Overview
- NPI
- 1144536939
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- August 31, 2010
- Last Updated
- September 27, 2023
Practice Location
- 2450 W Ridge RD Ste 304A
- Rochester, NY 14626-3037
Phone: (315) 975-9450
Specialties
- Clinical Social Worker (1041C0700X)
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
- Clinical Social Worker (1041C0700X)
- Social Worker (104100000X)
Full Record
- NPI
- 1144536939
- Entity Type
- Individual
- Last Name
- Diaz
- First Name
- Amanda
- Middle Name
- J
- Credential
- LCSW
- Provider Other Last Name
- Polizzi
- Provider Other First Name
- Amanda
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 2450 W Ridge RD Ste 304A
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14626-3037
- Mailing Country
- US
- Mailing Phone
- (315) 975-9450
- Practice Street Address
- 2450 W Ridge RD Ste 304A
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14626-3037
- Practice Country
- US
- Practice Phone
- (315) 975-9450
- Enumeration Date
- August 31, 2010
- Last Updated
- September 27, 2023
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- September 27, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X), Addiction (Substance Use Disorder) Counselor (101YA0400X), Clinical Social Worker (1041C0700X), Social Worker (104100000X)
- Other Identifiers
- 01420800 (NY)