National Provider Identifier

Amanda Wilson

Amanda Wilson is listed in the NPPES registry with a primary specialty of Social Worker in Williamson, NY and a listed phone number of (607) 426-6512.

NPI 1457164790Williamson, NYSocial Worker

Profile Overview

NPI
1457164790
Provider Type
Individual
Primary Specialty
Social Worker
Enumeration Date
January 30, 2025
Last Updated
January 30, 2025

Practice Location

  • 3562 Sunset Ln
  • Williamson, NY 14589-9343

Phone: (607) 426-6512

Specialties

  • Social Worker (104100000X)
Full Record
NPI
1457164790
Entity Type
Individual
Last Name
Wilson
First Name
Amanda
Mailing Street Address
3562 Sunset Ln
Mailing City
Williamson
Mailing State
NY
Mailing ZIP Code
14589-9343
Mailing Country
US
Mailing Phone
(607) 426-6512
Practice Street Address
3562 Sunset Ln
Practice City
Williamson
Practice State
NY
Practice ZIP Code
14589-9343
Practice Country
US
Practice Phone
(607) 426-6512
Enumeration Date
January 30, 2025
Last Updated
January 30, 2025
Sex
Female
Sole Proprietor
Yes
Taxonomy Group 1
193400000X Single Specialty Group
Certification Date
January 30, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Social Worker (104100000X)