Provider Demographics
NPI:1225387947
Name:CASTIGLIA AMATO, WENDY KATHRYN (LMSW)
Entity Type:Individual
Prefix:MS
First Name:WENDY
Middle Name:KATHRYN
Last Name:CASTIGLIA AMATO
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:360 DIVISION ST
Mailing Address - Street 2:
Mailing Address - City:HAMBURG
Mailing Address - State:NY
Mailing Address - Zip Code:14075-4521
Mailing Address - Country:US
Mailing Address - Phone:716-646-3254
Mailing Address - Fax:
Practice Address - Street 1:360 DIVISION ST
Practice Address - Street 2:
Practice Address - City:HAMBURG
Practice Address - State:NY
Practice Address - Zip Code:14075-4521
Practice Address - Country:US
Practice Address - Phone:716-646-3254
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-10
Last Update Date:2012-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0511491041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool