Active NPIIndividual provider

Amy Roe

Social Worker, Clinical in New London, Connecticut

NPI Number1275934226
Practice location
21 Montauk Ave, New London, CT 06320-4906
Fax
860-390-1463
Last updated
January 14, 2022

Amy Roe is a Social Worker, Clinical based in New London, CT. Amy Roe practices in New London, CT. The NPI Number for Amy Roe is 1275934226 and holds a License No. 10195 (CT). The current practice location address for Amy Roe is 21 Montauk Ave, New London, CT 06320-4906 and can be reached out via phone at 860-439-6400 and via fax at 860-390-1463.

Provider Profile Details

NPI Number
1275934226
Provider Name
Amy Roe
Provider Entity Type
Individual
Gender
Female
Address
21 Montauk Ave, New London, CT 06320-4906
Phone Number
860-439-6400
Fax Number
860-390-1463
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Other Names
Amy Faenza, LCSW (Former Name)
Provider Enumeration Date
September 9, 2014
Last Update Date
January 14, 2022
Certification Date
January 14, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
21 Montauk Ave
New London, CT 06320-4906
Zip
06320-4906
Phone Number
860-439-6400
Fax Number
860-390-1463
New London, CT 06320Get directions →

Provider Business Mailing Address Details

Address
Po Box 390
New London, CT 06320-0390
City
New London
State
CT
Zip
06320-0390

License Information

License Number
10195
License State
CT
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Amy Roe?

The NPI number of Amy Roe is 1275934226. It was assigned on September 9, 2014 and is currently active in the NPPES registry.

What is the specialty of Amy Roe?

Amy Roe is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CT under license number 10195.

Where does Amy Roe practice?

The practice location is 21 Montauk Ave, New London, CT 06320-4906. The office can be reached at 860-439-6400 (phone) or 860-390-1463 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1275934226 directly on the NPPES registry website.

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