National Provider Identifier

Amanda Marie McGowan

Amanda Marie McGowan is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Buffalo, NY and a listed phone number of (716) 834-6401.

NPI 1801189717Buffalo, NYClinical Social Worker

Profile Overview

NPI
1801189717
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
May 25, 2011
Last Updated
June 23, 2022

Practice Location

  • 77 Broadway St
  • Buffalo, NY 14203-1642

Phone: (716) 834-6401

Mailing Address

  • 55 Dodge RD
  • Getzville, NY 14068-1205

Specialties

  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1801189717
Entity Type
Individual
Last Name
McGowan
First Name
Amanda
Middle Name
Marie
Provider Other Last Name
Norton
Provider Other First Name
Amanda
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
Mailing Fax
(716) 831-1818
Practice Street Address
77 Broadway St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14203-1642
Practice Country
US
Practice Phone
(716) 834-6401
Enumeration Date
May 25, 2011
Last Updated
June 23, 2022
Sex
Female
Sole Proprietor
No
Certification Date
June 23, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X)