Provider Demographics
NPI:1578630893
Name:SZCZECHOWICZ, AMY (LCMHC, MLADC)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:SZCZECHOWICZ
Suffix:
Gender:F
Credentials:LCMHC, MLADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 LYNN GROVE RD
Mailing Address - Street 2:
Mailing Address - City:NORTHWOOD
Mailing Address - State:NH
Mailing Address - Zip Code:03261-3832
Mailing Address - Country:US
Mailing Address - Phone:978-386-4245
Mailing Address - Fax:
Practice Address - Street 1:2 MIDDLE ST
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:NH
Practice Address - Zip Code:03031-2917
Practice Address - Country:US
Practice Address - Phone:978-386-4245
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-30
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0974101YA0400X
NH575101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH7706660Y0NH01OtherBLUE CROSS
NH2123891OtherCIGNA
NH020258994-03OtherHARVARD PILGRIM