Individual
AMANDA DE JESUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
119 W 57TH ST STE 1100, NEW YORK, NY 10019-2401
(631) 716-4386
Mailing address
300 W 55TH ST, #15X, NEW YORK, NY 10019-5172
(631) 716-4386
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
076251-1
NY
Other
Enumeration date
03/03/2009
Last updated
09/22/2025
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