Individual
AMANDA AYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
75 WOODFORD AVENUE EXT APT 1, PLAINVILLE, CT 06062-2561
(860) 410-6547
Mailing address
75 WOODFORD AVENUE EXT APT 1, PLAINVILLE, CT 06062-2561
(860) 921-3417
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
1644
CT
1041C0700X
Clinical Social Worker
Primary
009856
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060669107
UNITED BEHAVIORAL HEALTH-UNITED HEALTHCARE/WELLMORE GRP/FACILITY
CT
01
—
D339209
VALUE OPTIONS
CT
01
—
NOT ELIGIBLE
MHN-TRICARE NORTH
CT
01
—
PENDING
CIGNA BEHAVIORAL HEALTH
CT
05
—
PENDING
—
CT
Enumeration date
09/23/2013
Last updated
04/15/2021
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