Healthcare Provider Details

I. General information

NPI: 1063873115
Provider Name (Legal Business Name): AMIE CAULFIELD LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/17/2016
Last Update Date: 08/01/2025
Certification Date: 08/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13 LONG ST
HUNTINGTON STATION NY
11746-4417
US

IV. Provider business mailing address

13 LONG ST
HUNTINGTON STATION NY
11746-4417
US

V. Phone/Fax

Practice location:
  • Phone: 631-921-8749
  • Fax:
Mailing address:
  • Phone: 631-921-8749
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number088962-1
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number098667
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: