Provider Demographics
NPI:1578814620
Name:WOERNER, AMY SENNETT (MC, NCC, LPC, RPT)
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:SENNETT
Last Name:WOERNER
Suffix:
Gender:F
Credentials:MC, NCC, LPC, RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1103 1/2 3RD AVE
Mailing Address - Street 2:
Mailing Address - City:ASBURY PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07712-5712
Mailing Address - Country:US
Mailing Address - Phone:609-915-4895
Mailing Address - Fax:
Practice Address - Street 1:560 MAIN ST
Practice Address - Street 2:SUITE 1E
Practice Address - City:LOCH ARBOUR
Practice Address - State:NJ
Practice Address - Zip Code:07711-1231
Practice Address - Country:US
Practice Address - Phone:609-915-4895
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-28
Last Update Date:2012-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ45-3062052101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional