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NPI Code Detail

MEDICARE: AMANDA ADAMCZYK LCSW

MEDICARE: AMANDA ADAMCZYK LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerCW020168PA

General Provider Information

NPI Number : 1073064135
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA ADAMCZYK LCSW
Provider Business Mailing Address
First Line : 3910 CAUGHEY RD STE 200
Second Line :
City : ERIE
State : PA
Zip : 16506-4098
Country : US
Telephone Number : 814-480-9223
Fax Number :
Provider Business Practice Location Address
First Line : 100 S JUNIPER ST FL 3
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19107-1316
Country : US
Telephone Number : 833-258-8498
Fax Number : 833-613-2680
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2016
Last Update Date : 05/21/2025

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Directions to “ AMANDA ADAMCZYK LCSW” Practice Location

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