Provider Demographics
NPI:1801934948
Name:FRISCH, AMY (LCSWR)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:FRISCH
Suffix:
Gender:F
Credentials:LCSWR
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:
Other - Last Name:FRISCH-BROWN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSWR
Mailing Address - Street 1:135 BENEDICT RD
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:NY
Mailing Address - Zip Code:12549-2301
Mailing Address - Country:US
Mailing Address - Phone:845-706-0229
Mailing Address - Fax:
Practice Address - Street 1:924 HOMESTEAD AVE
Practice Address - Street 2:
Practice Address - City:MAYBROOK
Practice Address - State:NY
Practice Address - Zip Code:12543-1312
Practice Address - Country:US
Practice Address - Phone:845-706-0229
Practice Address - Fax:800-583-8501
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-01
Last Update Date:2024-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
104100000X
NYR048966104100000X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker