Provider Demographics
NPI:1164624524
Name:SINGER, AMY (LCSW)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:SINGER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 MOUNT PLEASANT RD
Mailing Address - Street 2:FAMILY COUNSELING CENTER, INC
Mailing Address - City:NEWTOWN
Mailing Address - State:CT
Mailing Address - Zip Code:06470-1537
Mailing Address - Country:US
Mailing Address - Phone:203-426-8103
Mailing Address - Fax:203-426-0550
Practice Address - Street 1:121 MOUNT PLEASANT RD
Practice Address - Street 2:FAMILY COUNSELING CENTER, INC
Practice Address - City:NEWTOWN
Practice Address - State:CT
Practice Address - Zip Code:06470-1537
Practice Address - Country:US
Practice Address - Phone:203-426-8103
Practice Address - Fax:203-426-0550
Is Sole Proprietor?:No
Enumeration Date:2007-06-05
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0033271041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTANC1319OtherOXFORD ID NUMBER GROUP