Provider Demographics
NPI:1356006076
Name:SNOOK-BARNES, AMANDA FERN (LMSW)
Entity Type:Individual
Prefix:MRS
First Name:AMANDA
Middle Name:FERN
Last Name:SNOOK-BARNES
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:MS
Other - First Name:AMANDA
Other - Middle Name:FERN
Other - Last Name:SNOOK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:8168 STATE ROUTE 55
Mailing Address - Street 2:
Mailing Address - City:GRAHAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:12740-6412
Mailing Address - Country:US
Mailing Address - Phone:845-538-6145
Mailing Address - Fax:
Practice Address - Street 1:344 N MAIN ST
Practice Address - Street 2:
Practice Address - City:LIBERTY
Practice Address - State:NY
Practice Address - Zip Code:12754-1243
Practice Address - Country:US
Practice Address - Phone:845-292-4403
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-08
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0829161041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical