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MS. ANDREA JEANINE D'AMICO LMFT NPI 1033172366


NPI Information

NPI: 1033172366
Provider Name: MS. ANDREA JEANINE D'AMICO, LMFT
Classification: Marriage & Family Therapist - 106H00000X
Entity Type: Individual

CLIA Number: 33D2205780

Address:
650 HAWKINS AVE STE 5
RONKONKOMA, NY
ZIP 11779
Phone: (516) 578-3827
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MS. Andrea Jeanine D'amico, LMFT is a marriage family therapist in Ronkonkoma, NY. The provider is a marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. MS. Andrea Jeanine D'amico, LMFT NPI is 1033172366. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

650 HAWKINS AVE STE 5
RONKONKOMA, NY
ZIP 11779-366
Phone: (516) 578-3827

The CLIA number assigned to this NPI record is 33D2205780 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/8/2006 and was last updated on 10/13/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1106H00000XMarriage & Family Therapist000050NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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