Provider Demographics
NPI:1346742269
Name:AMY ORR LMSW COUNSELING SERVICES
Entity Type:Organization
Organization Name:AMY ORR LMSW COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOCIAL WORKER
Authorized Official - Prefix:MS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:ORR
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:315-529-1533
Mailing Address - Street 1:979 COUNTY ROUTE 25
Mailing Address - Street 2:
Mailing Address - City:OSWEGO
Mailing Address - State:NY
Mailing Address - Zip Code:13126-5723
Mailing Address - Country:US
Mailing Address - Phone:315-529-1533
Mailing Address - Fax:
Practice Address - Street 1:317 W 1ST ST STE 112
Practice Address - Street 2:
Practice Address - City:OSWEGO
Practice Address - State:NY
Practice Address - Zip Code:13126-3678
Practice Address - Country:US
Practice Address - Phone:315-216-6862
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-07
Last Update Date:2018-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY069171104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty