Provider Demographics
NPI:1568440964
Name:BLUEITT, AMY HENDRY (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:HENDRY
Last Name:BLUEITT
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MISS
Other - First Name:AMY
Other - Middle Name:MICHELLE
Other - Last Name:HENDRY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:533 W 3RD AVE
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:GA
Mailing Address - Zip Code:31701
Mailing Address - Country:US
Mailing Address - Phone:229-889-7200
Mailing Address - Fax:229-889-7393
Practice Address - Street 1:533 W 3RD AVE
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:GA
Practice Address - Zip Code:31701
Practice Address - Country:US
Practice Address - Phone:229-889-7200
Practice Address - Fax:229-889-7393
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0035511041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical