Healthcare Provider Details

I. General information

NPI: 1992635676
Provider Name (Legal Business Name): RACHEL ANN AMATRUDA LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2026
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1341 RIDGE RD
NORTH HAVEN CT
06473-3005
US

IV. Provider business mailing address

38 KIMBERLY AVE
EAST HAVEN CT
06512-2337
US

V. Phone/Fax

Practice location:
  • Phone: 203-248-4050
  • Fax:
Mailing address:
  • Phone: 203-824-4525
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number16774
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: