National Provider Identifier

Amanda Nicole Bashi

Amanda Nicole Bashi is listed in the NPPES registry with a primary specialty of Social Worker in Ithaca, NY and a listed phone number of (607) 205-8541.

NPI 1164809034Ithaca, NYSocial Worker

Profile Overview

NPI
1164809034
Provider Type
Individual
Primary Specialty
Social Worker
Enumeration Date
April 29, 2015
Last Updated
January 29, 2020

Practice Location

  • 136 Westhaven RD
  • Ithaca, NY 14850-3026

Phone: (607) 205-8541

Specialties

  • Social Worker (104100000X)
  • Mental Health Counselor (101YM0800X)
Full Record
NPI
1164809034
Entity Type
Individual
Last Name
Bashi
First Name
Amanda
Middle Name
Nicole
Name Prefix
MS.
Mailing Street Address
136 Westhaven RD
Mailing City
Ithaca
Mailing State
NY
Mailing ZIP Code
14850-3026
Mailing Country
US
Mailing Phone
(607) 205-8541
Practice Street Address
136 Westhaven RD
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850-3026
Practice Country
US
Practice Phone
(607) 205-8541
Enumeration Date
April 29, 2015
Last Updated
January 29, 2020
Sex
Female
Sole Proprietor
Yes
Certification Date
January 29, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Social Worker (104100000X), Mental Health Counselor (101YM0800X)