Provider Demographics
NPI:1619024734
Name:SLIF, AMY T (LCSW-R)
Entity Type:Individual
Prefix:MS
First Name:AMY
Middle Name:T
Last Name:SLIF
Suffix:
Gender:F
Credentials:LCSW-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 OAK NECK LN
Mailing Address - Street 2:
Mailing Address - City:WEST ISLIP
Mailing Address - State:NY
Mailing Address - Zip Code:11795-5117
Mailing Address - Country:US
Mailing Address - Phone:516-445-0053
Mailing Address - Fax:
Practice Address - Street 1:35 OAK NECK LN
Practice Address - Street 2:
Practice Address - City:WEST ISLIP
Practice Address - State:NY
Practice Address - Zip Code:11795-5117
Practice Address - Country:US
Practice Address - Phone:516-445-0053
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-03
Last Update Date:2022-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0512161041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical