Provider Demographics
NPI:1417254129
Name:VALENTIN, AMY HAMILTON (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:HAMILTON
Last Name:VALENTIN
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 1:70 ROARING BROOK RD
Mailing Address - Street 2:
Mailing Address - City:CHAPPAQUA
Mailing Address - State:NY
Mailing Address - Zip Code:10514-1710
Mailing Address - Country:US
Mailing Address - Phone:914-861-9461
Mailing Address - Fax:914-238-6652
Practice Address - Street 1:70 ROARING BROOK RD
Practice Address - Street 2:
Practice Address - City:CHAPPAQUA
Practice Address - State:NY
Practice Address - Zip Code:10514-1710
Practice Address - Country:US
Practice Address - Phone:914-861-9461
Practice Address - Fax:914-238-6652
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-15
Last Update Date:2011-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0351521041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical