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NPI Code Detail

MEDICARE: AMAL SIENY LCSW

MEDICARE:   AMAL  SIENY  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 Worker0904016535VA
21041C0700XClinical Social Worker149026547IL

General Provider Information

NPI Number : 1477400356
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMAL SIENY LCSW
Provider Business Mailing Address
First Line : 704 S EMERALD LN
Second Line :
City : CARBONDALE
State : IL
Zip : 62901-2146
Country : US
Telephone Number : 571-733-4596
Fax Number :
Provider Business Practice Location Address
First Line : 704 S EMERALD LN
Second Line :
City : CARBONDALE
State : IL
Zip : 62901-2146
Country : US
Telephone Number : 571-733-4596
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/11/2026
Last Update Date : 03/11/2026

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Directions to “ AMAL SIENY LCSW” Practice Location

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