Individual provider · Type 1 NPI

Amanda Wagerik-Fasano, LMSW, CASAC-T

Specialist · Staten Island, NY

NPI number 1750659215 Active

Practice location

3911 Richmond Ave
Staten Island, NY 10312-5110

Call (718) 948-3232 Map

Fax (718) 966-6605

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1750659215

Amanda Wagerik-Fasano, LMSW, CASAC-T's National Provider Identifier is 1750659215, issued on Dec 12, 2011. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Staten Island, NY. The record was last updated on May 8, 2019.