Individual provider · Type 1 NPI

Brian R. Amidon, LCSW

Clinical Social Worker · Syracuse, NY

NPI number 1417029026 Active

Practice location

725 Irving Ave
Syracuse, NY 13210-1603

Call (315) 464-5538 Map

Fax (315) 464-5579

Mailing address

725 Irving Ave Ste 302
Syracuse, NY 13210-1603

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X072991 (NY)
Clinical Social Worker Primary 1041C0700X083385 (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 1417029026

Brian R. Amidon, LCSW's National Provider Identifier is 1417029026, issued on Nov 15, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Syracuse, NY. The record was last updated on Aug 12, 2015.