Active NPIIndividual providerSole proprietor

Miss Amanda S Riccitelli, LCSW

Social Worker, Clinical in Southport, Connecticut

NPI Number1568179166
Practice location
2960 Post RD Fl 3, Southport, CT 06890-1268
Fax
—
Last updated
November 2, 2022

Amanda S Riccitelli is a Social Worker, Clinical based in Southport, CT. Amanda S Riccitelli practices in Southport, CT and has the professional credentials of LCSW. The NPI Number for Amanda S Riccitelli is 1568179166 and holds a License No. 12570 (CT). The current practice location address for Amanda S Riccitelli is 2960 Post RD Fl 3, Southport, CT 06890-1268 and can be reached out via phone at 203-307-3030.

Provider Profile Details

NPI Number
1568179166
Provider Name
Amanda S Riccitelli
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
2960 Post RD Fl 3, Southport, CT 06890-1268
Phone Number
203-307-3030
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
November 2, 2022
Last Update Date
November 2, 2022
Certification Date
November 2, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
2960 Post RD Fl 3
Southport, CT 06890-1268
Zip
06890-1268
Phone Number
203-307-3030
Southport, CT 06890Get directions →

Provider Business Mailing Address Details

Address
2960 Post RD
Southport, CT 06890-1268
City
Southport
State
CT
Zip
06890-1268

License Information

License Number
12570
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 Miss Amanda S Riccitelli, LCSW?

The NPI number of Miss Amanda S Riccitelli, LCSW is 1568179166. It was assigned on November 2, 2022 and is currently active in the NPPES registry.

What is the specialty of Miss Amanda S Riccitelli, LCSW?

Miss Amanda S Riccitelli, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CT under license number 12570.

Where does Miss Amanda S Riccitelli, LCSW practice?

The practice location is 2960 Post RD Fl 3, Southport, CT 06890-1268. The office can be reached at 203-307-3030 (phone).

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 1568179166 directly on the NPPES registry website.

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