Provider Demographics
NPI:1265301279
Name:SEDLIS, AMY
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:SEDLIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 UPLAND WOODS CIR UNIT 405
Mailing Address - Street 2:
Mailing Address - City:NORWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02062-3261
Mailing Address - Country:US
Mailing Address - Phone:781-824-3227
Mailing Address - Fax:
Practice Address - Street 1:4 UPLAND WOODS CIR UNIT 405
Practice Address - Street 2:
Practice Address - City:NORWOOD
Practice Address - State:MA
Practice Address - Zip Code:02062-3261
Practice Address - Country:US
Practice Address - Phone:781-824-3227
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-30
Last Update Date:2025-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MALCSW2130885104100000X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker