Provider Demographics
NPI:1932505609
Name:AMATO, DENISE MARIE (LCSW)
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:MARIE
Last Name:AMATO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:94 SUFFOLK ST
Mailing Address - Street 2:
Mailing Address - City:HOLYOKE
Mailing Address - State:MA
Mailing Address - Zip Code:01040-4458
Mailing Address - Country:US
Mailing Address - Phone:413-315-3194
Mailing Address - Fax:413-322-8404
Practice Address - Street 1:94 SUFFOLK ST
Practice Address - Street 2:
Practice Address - City:HOLYOKE
Practice Address - State:MA
Practice Address - Zip Code:01040-4458
Practice Address - Country:US
Practice Address - Phone:413-315-3194
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-07
Last Update Date:2014-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2031697104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker