National Provider Identifier
Amanda J. Polino, LCSW-R
Amanda J. Polino, LCSW-R is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Orchard Park, NY and a listed phone number of (716) 662-6638.
Profile Overview
- NPI
- 1770899932
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- August 26, 2010
- Last Updated
- September 28, 2020
Practice Location
- 227 Thorn Ave
- Orchard Park, NY 14127-2600
Phone: (716) 662-6638
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1770899932
- Entity Type
- Individual
- Last Name
- Polino
- First Name
- Amanda
- Middle Name
- J.
- Name Prefix
- Mrs.
- Credential
- LCSW-R
- Provider Other Last Name
- Neuland
- Provider Other First Name
- Amanda
- Provider Other Middle Name
- J.
- Provider Other Name Prefix Text
- Miss
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 227 Thorn Ave
- Mailing City
- Orchard Park
- Mailing State
- NY
- Mailing ZIP Code
- 14127-2600
- Mailing Country
- US
- Mailing Phone
- (716) 662-2040
- Mailing Fax
- (716) 662-0019
- Practice Street Address
- 227 Thorn Ave
- Practice City
- Orchard Park
- Practice State
- NY
- Practice ZIP Code
- 14127-2600
- Practice Country
- US
- Practice Phone
- (716) 662-6638
- Practice Fax
- (716) 662-2404
- Enumeration Date
- August 26, 2010
- Last Updated
- September 28, 2020
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- September 28, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)