Provider Demographics
NPI:1245471242
Name:CHESNEY, AMANDA S (MSW, LICSW)
Entity type:Individual
Prefix:MRS
First Name:AMANDA
Middle Name:S
Last Name:CHESNEY
Suffix:
Gender:F
Credentials:MSW, LICSW
Other - Prefix:MS
Other - First Name:AMANDA
Other - Middle Name:S
Other - Last Name:ADAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:64 NEW YORK AVE NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002-3320
Mailing Address - Country:US
Mailing Address - Phone:202-673-7051
Mailing Address - Fax:202-673-7502
Practice Address - Street 1:1346 FLORIDA AVE NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20009-4838
Practice Address - Country:US
Practice Address - Phone:202-232-6090
Practice Address - Fax:202-232-6282
Is Sole Proprietor?:No
Enumeration Date:2009-03-20
Last Update Date:2011-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC500785641041C0700X
IL149.0125421041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical