Ayers, Amanda
Ayers, Amanda is an individual health care provider with primary practice located at 75 Woodford Avenue Ext Apt 1 , Plainville CT 06062-2561. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Ayers, Amanda can be contacted via phone (860) 410-6547.Contact Information
Primary practice address
75 Woodford Avenue Ext Apt 1
Plainville CT 06062-2561
Phone: (860) 410-6547
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 009856 | Connecticut |
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 1644 | Connecticut |
Profile Details
| NPI number | 1366878241 |
|---|---|
| LBN Legal business name | Ayers, Amanda |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 23rd, 2013 |
| Last updated | Apr 15th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366878241 | NPPES |
| Connecticut | Other | 060669107 | UNITED BEHAVIORAL HEALTH-UNITED HEALTHCARE/WELLMORE GRP/FACILITY |
| Connecticut | Other | D339209 | UNITED BEHAVIORAL HEALTH-UNITED HEALTHCARE/WELLMORE GRP/FACILITY |
| Connecticut | Other | NOT ELIGIBLE | UNITED BEHAVIORAL HEALTH-UNITED HEALTHCARE/WELLMORE GRP/FACILITY |
| Connecticut | Other | PENDING | UNITED BEHAVIORAL HEALTH-UNITED HEALTHCARE/WELLMORE GRP/FACILITY |
| Connecticut | Other | PENDING | UNITED BEHAVIORAL HEALTH-UNITED HEALTHCARE/WELLMORE GRP/FACILITY |
| Connecticut | Other | PENDING | UNITED BEHAVIORAL HEALTH-UNITED HEALTHCARE/WELLMORE GRP/FACILITY |
| Connecticut | Other | 060669107 | UNITED BEHAVIORAL HEALTH-UNITED HEALTHCARE/WELLMORE GRP/FACILITY |
| Connecticut | Other | 060669107 | UNITED BEHAVIORAL HEALTH-UNITED HEALTHCARE/WELLMORE GRP/FACILITY |
| Connecticut | Other | NOT ELIGIBLE | UNITED BEHAVIORAL HEALTH-UNITED HEALTHCARE/WELLMORE GRP/FACILITY |
| Connecticut | MEDICAID | PENDING | UNITED BEHAVIORAL HEALTH-UNITED HEALTHCARE/WELLMORE GRP/FACILITY |
| Connecticut | Other | 060669107 | UNITED BEHAVIORAL HEALTH-UNITED HEALTHCARE/WELLMORE GRP/FACILITY |
| Connecticut | Other | 060669107 | UNITED BEHAVIORAL HEALTH-UNITED HEALTHCARE/WELLMORE GRP/FACILITY |
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