Provider Demographics
NPI:1093357733
Name:SAOIT, AMANDA (LCSW-S)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:
Last Name:SAOIT
Suffix:
Gender:F
Credentials:LCSW-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:308 LIVE OAK CT
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:VA
Mailing Address - Zip Code:24153-4566
Mailing Address - Country:US
Mailing Address - Phone:214-929-9311
Mailing Address - Fax:
Practice Address - Street 1:308 LIVE OAK CT
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:VA
Practice Address - Zip Code:24153-4566
Practice Address - Country:US
Practice Address - Phone:214-929-9311
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-15
Last Update Date:2023-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX593641041C0700X
MA1267461041C0700X
VA09040117661041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty