Individual provider · Type 1 NPI
Amanda Lopez
Clinical Social Worker · Ronkonkoma, NY
Practice location
65 Johnson Ave
Ronkonkoma, NY 11779-5374
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 101086-01 (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 1285504217
Amanda Lopez's National Provider Identifier is 1285504217, issued on Nov 5, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Ronkonkoma, NY. The record was last updated on Nov 5, 2025.