Healthcare Provider Details

I. General information

NPI: 1548098528
Provider Name (Legal Business Name): AMANDA E LEHRER LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/22/2024
Last Update Date: 07/22/2024
Certification Date: 07/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

271 WITTENBERG RD
BEARSVILLE NY
12409-5630
US

IV. Provider business mailing address

271 WITTENBERG RD
BEARSVILLE NY
12409-5630
US

V. Phone/Fax

Practice location:
  • Phone: 347-400-1099
  • Fax:
Mailing address:
  • Phone: 347-400-1099
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number123820
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: