Individual
AMY M WIEST-D'ANNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
175 W 79TH ST, STE 1A, NEW YORK, NY 10024-6450
(212) 414-5328
(212) 580-9418
Mailing address
304 W 75TH ST, 8H, NEW YORK, NY 10023-1689
(212) 496-0873
(212) 580-9418
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
072227
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
072227
LCSW LICENSE NUMBER
NY
Enumeration date
07/18/2006
Last updated
05/06/2009
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