Individual provider · Type 1 NPI

Amanda Knoeller, L.M.S.W

Clinical Social Worker · Utica, NY

NPI number 1104170505 Active

Practice location

683 Mary Street
Utica, NY 13501

Mailing address

112 Longview East
Old Forge, NY 13420-0404

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X087725-1 (NY)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1104170505

Amanda Knoeller, L.M.S.W's National Provider Identifier is 1104170505, issued on Nov 7, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Utica, NY. The record was last updated on Nov 7, 2012.