National Provider Identifier
Amanda Walts, LCSW
Amanda Walts, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Ithaca, NY and a listed phone number of (607) 256-2030.
Profile Overview
- NPI
- 1245716562
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- July 19, 2018
- Last Updated
- January 16, 2019
Practice Location
- 233 S Albany St
- Ithaca, NY 14850-5403
Phone: (607) 256-2030
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1245716562
- Entity Type
- Individual
- Last Name
- Walts
- First Name
- Amanda
- Name Prefix
- MS.
- Credential
- LCSW
- Provider Other Last Name
- Walts
- Provider Other First Name
- Mandy
- Provider Other Last Name Type Code
- 5
- Mailing Street Address
- 233 S Albany St
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-5403
- Mailing Country
- US
- Mailing Phone
- (607) 256-2030
- Practice Street Address
- 233 S Albany St
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-5403
- Practice Country
- US
- Practice Phone
- (607) 256-2030
- Enumeration Date
- July 19, 2018
- Last Updated
- January 16, 2019
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)