Provider Demographics
NPI:1013424118
Name:STRICOFF, AMY E (LCSW)
Entity Type:Individual
Prefix:MS
First Name:AMY
Middle Name:E
Last Name:STRICOFF
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 1:1313 GRAND ST APT 405
Mailing Address - Street 2:
Mailing Address - City:HOBOKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07030-2253
Mailing Address - Country:US
Mailing Address - Phone:845-978-0305
Mailing Address - Fax:
Practice Address - Street 1:1313 GRAND ST APT 405
Practice Address - Street 2:
Practice Address - City:HOBOKEN
Practice Address - State:NJ
Practice Address - Zip Code:07030-2253
Practice Address - Country:US
Practice Address - Phone:845-978-0305
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-10
Last Update Date:2020-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0860381041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical