Provider Demographics
NPI:1326103052
Name:AMATO, ANN BUTLER (LCSW)
Entity Type:Individual
Prefix:MS
First Name:ANN
Middle Name:BUTLER
Last Name:AMATO
Suffix:
Gender:F
Credentials:LCSW
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Other - Credentials:
Mailing Address - Street 1:2025 MORSE AVE
Mailing Address - Street 2:DEPT. OF PSYCHIATRY
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95825-2115
Mailing Address - Country:US
Mailing Address - Phone:916-973-5300
Mailing Address - Fax:916-973-7495
Practice Address - Street 1:2025 MORSE AVE
Practice Address - Street 2:DEPT. OF PSYCHIATRY
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95825-2115
Practice Address - Country:US
Practice Address - Phone:916-973-5300
Practice Address - Fax:916-973-7495
Is Sole Proprietor?:No
Enumeration Date:2006-12-22
Last Update Date:2015-01-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CALCS125631041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical