National Provider Identifier

Amanda Reagan, MSW

Amanda Reagan, MSW is listed in the NPPES registry with a primary specialty of Social Worker in Rochester, NY and a listed phone number of (585) 368-6901.

NPI 1740746270Rochester, NYSocial Worker

Profile Overview

NPI
1740746270
Provider Type
Individual
Primary Specialty
Social Worker
Enumeration Date
February 20, 2019
Last Updated
February 20, 2019

Practice Location

  • 81 Lake Ave
  • Rochester, NY 14608-1410

Phone: (585) 368-6901

Specialties

  • Social Worker (104100000X)
Full Record
NPI
1740746270
Entity Type
Individual
Last Name
Reagan
First Name
Amanda
Credential
MSW
Provider Other Last Name
Burns
Provider Other First Name
Amanda
Provider Other Last Name Type Code
1
Mailing Street Address
81 Lake Ave
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14608-1410
Mailing Country
US
Practice Street Address
81 Lake Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14608-1410
Practice Country
US
Practice Phone
(585) 368-6901
Enumeration Date
February 20, 2019
Last Updated
February 20, 2019
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Social Worker (104100000X)