Basic Information
| Provider Information | |||||||||
| NPI: | 1164624524 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SINGER | ||||||||
| FirstName: | AMY | ||||||||
| MiddleName: | |||||||||
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| Credential: | LCSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 121 MOUNT PLEASANT RD | ||||||||
| Address2: | FAMILY COUNSELING CENTER, INC | ||||||||
| City: | NEWTOWN | ||||||||
| State: | CT | ||||||||
| PostalCode: | 064701537 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2034268103 | ||||||||
| FaxNumber: | 2034260550 | ||||||||
| Practice Location | |||||||||
| Address1: | 121 MOUNT PLEASANT RD | ||||||||
| Address2: | FAMILY COUNSELING CENTER, INC | ||||||||
| City: | NEWTOWN | ||||||||
| State: | CT | ||||||||
| PostalCode: | 064701537 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2034268103 | ||||||||
| FaxNumber: | 2034260550 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/05/2007 | ||||||||
| LastUpdateDate: | 07/09/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | 003327 | CT | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
ID Information
| ID | Type | State | Issuer | Description | ANC1319 | 01 | CT | OXFORD ID NUMBER GROUP | OTHER |