Provider Demographics
NPI:1205152196
Name:SAWYER, AMY S (LMHC)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:S
Last Name:SAWYER
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:S
Other - Last Name:JAMESON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9133 STATE HIGHWAY 37
Mailing Address - Street 2:
Mailing Address - City:OGDENSBURG
Mailing Address - State:NY
Mailing Address - Zip Code:13669-4487
Mailing Address - Country:US
Mailing Address - Phone:315-528-5945
Mailing Address - Fax:
Practice Address - Street 1:9133 STATE HIGHWAY 37
Practice Address - Street 2:
Practice Address - City:OGDENSBURG
Practice Address - State:NY
Practice Address - Zip Code:13669-4487
Practice Address - Country:US
Practice Address - Phone:315-528-5945
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-16
Last Update Date:2024-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002412101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL00117828OtherCERTIFIED REHABILITATION COUNSELOR CRC