Provider Demographics
NPI:1225286867
Name:AMATO, SUSAN JEAN (LCSW)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:JEAN
Last Name:AMATO
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 1:14 E 60TH ST
Mailing Address - Street 2:SUITE 700
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-1006
Mailing Address - Country:US
Mailing Address - Phone:212-371-0886
Mailing Address - Fax:
Practice Address - Street 1:14 E 60TH ST
Practice Address - Street 2:SUITE 700
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-1006
Practice Address - Country:US
Practice Address - Phone:212-371-0886
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-08
Last Update Date:2008-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR327311041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical