Healthcare Provider Details

I. General information

NPI: 1710693429
Provider Name (Legal Business Name): ANNA MARIE AMAYA LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/26/2023
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 ATNO AVE
MORRISTOWN NJ
07960-3802
US

IV. Provider business mailing address

118 E MOUNTAIN RD
SPARTA NJ
07871-3146
US

V. Phone/Fax

Practice location:
  • Phone: 973-267-0002
  • Fax:
Mailing address:
  • Phone: 973-932-7321
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number44SC06598800
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: