Provider Demographics
NPI:1437202538
Name:DRUMSTA, AMANDA ELLEN (MSW)
Entity Type:Individual
Prefix:MRS
First Name:AMANDA
Middle Name:ELLEN
Last Name:DRUMSTA
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:MISS
Other - First Name:AMANDA
Other - Middle Name:ELLEN
Other - Last Name:SANTANGELO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1526 WALDEN AVE
Mailing Address - Street 2:SUITE 400
Mailing Address - City:CHEEKTOWAGA
Mailing Address - State:NY
Mailing Address - Zip Code:14225-4965
Mailing Address - Country:US
Mailing Address - Phone:716-895-7167
Mailing Address - Fax:716-332-4488
Practice Address - Street 1:1500 BROADWAY ST
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14212-1845
Practice Address - Country:US
Practice Address - Phone:716-893-0062
Practice Address - Fax:716-893-0070
Is Sole Proprietor?:No
Enumeration Date:2007-01-19
Last Update Date:2022-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1041C0700X
NYR079509-011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical