Individual
AMANDA ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
15 FORTUNE RD W, MIDDLETOWN, NY 10941-1625
(845) 725-2135
Mailing address
15 FORTUNE RD W, MIDDLETOWN, NY 10941-1625
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
128071-01
NY
Other
Enumeration date
08/20/2025
Last updated
08/20/2025
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