Healthcare Provider Details

I. General information

NPI: 1851970248
Provider Name (Legal Business Name): AMRITA SEN LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/05/2021
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10326 68TH RD
FOREST HILLS NY
11375-3200
US

IV. Provider business mailing address

10326 68TH RD
FOREST HILLS NY
11375-3200
US

V. Phone/Fax

Practice location:
  • Phone: 718-261-3330
  • Fax:
Mailing address:
  • Phone: 917-509-6172
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number092622-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: