National Provider Identifier

Amanda J. Hackett, LMSW

Amanda J. Hackett, LMSW is listed in the NPPES registry with a primary specialty of Social Worker in Penn Yan, NY and a listed phone number of (315) 531-2400.

NPI 1285906529Penn Yan, NYSocial Worker

Profile Overview

NPI
1285906529
Provider Type
Individual
Primary Specialty
Social Worker
Enumeration Date
February 02, 2012
Last Updated
May 14, 2012

Practice Location

  • 465 N Main St
  • John D. Kelly Behavorial Health
  • Penn Yan, NY 14527-1069

Phone: (315) 531-2400

Mailing Address

  • 233 Stillwater Dr
  • Horseheads, NY 14845-1330

Specialties

  • Social Worker (104100000X)
Full Record
NPI
1285906529
Entity Type
Individual
Last Name
Hackett
First Name
Amanda
Middle Name
J.
Credential
LMSW
Mailing Street Address
233 Stillwater Dr
Mailing City
Horseheads
Mailing State
NY
Mailing ZIP Code
14845-1330
Mailing Country
US
Practice Street Address
465 N Main St
Practice Address Line 2
John D. Kelly Behavorial Health
Practice City
Penn Yan
Practice State
NY
Practice ZIP Code
14527-1069
Practice Country
US
Practice Phone
(315) 531-2400
Enumeration Date
February 02, 2012
Last Updated
May 14, 2012
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Social Worker (104100000X)