Provider Demographics
NPI:1598819047
Name:ZELTER, AMY MARIE (LCSWR)
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:MARIE
Last Name:ZELTER
Suffix:
Gender:F
Credentials:LCSWR
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:MARIE
Other - Last Name:ZELTER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSWR
Mailing Address - Street 1:499 BEAHAN RD
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14624-3403
Mailing Address - Country:US
Mailing Address - Phone:585-507-2562
Mailing Address - Fax:585-219-8345
Practice Address - Street 1:499 BEAHAN RD
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14624-3403
Practice Address - Country:US
Practice Address - Phone:585-507-2562
Practice Address - Fax:585-219-8345
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-22
Last Update Date:2020-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR071261-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical