Provider Demographics
NPI:1912918632
Name:WEBER, AMY ELIZABETH (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:ELIZABETH
Last Name:WEBER
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 1:651 VANDERBILT ST
Mailing Address - Street 2:APT. 4L
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11218-1265
Mailing Address - Country:US
Mailing Address - Phone:718-391-8886
Mailing Address - Fax:718-499-2088
Practice Address - Street 1:651 VANDERBILT ST
Practice Address - Street 2:APT. 4L
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11218-1265
Practice Address - Country:US
Practice Address - Phone:718-391-8886
Practice Address - Fax:718-499-2088
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-10
Last Update Date:2008-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP0598041041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical