National Provider Identifier

Amanda Frances Pecoraro

Amanda Frances Pecoraro is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Lockport, NY and a listed phone number of (716) 433-2484.

NPI 1407393838Lockport, NYClinical Social Worker

Profile Overview

NPI
1407393838
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
January 24, 2017
Last Updated
May 13, 2024

Practice Location

  • 637 Davison RD
  • Lockport, NY 14094-5339

Phone: (716) 433-2484

Mailing Address

  • 55 Dodge RD
  • Getzville, NY 14068-1205

Specialties

  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1407393838
Entity Type
Individual
Last Name
Pecoraro
First Name
Amanda
Middle Name
Frances
Provider Other Last Name
Krugolets
Provider Other First Name
Amanda
Provider Other Middle Name
Frances
Provider Other Last Name Type Code
1
Mailing Street Address
55 Dodge RD
Mailing City
Getzville
Mailing State
NY
Mailing ZIP Code
14068-1205
Mailing Country
US
Mailing Phone
(716) 831-2700
Practice Street Address
637 Davison RD
Practice City
Lockport
Practice State
NY
Practice ZIP Code
14094-5339
Practice Country
US
Practice Phone
(716) 433-2484
Enumeration Date
January 24, 2017
Last Updated
May 13, 2024
Sex
Female
Sole Proprietor
No
Certification Date
May 13, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X)