Provider Demographics
NPI:1396332466
Name:MAURIER, AMANDA JANE (LICSW, MLADC)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:JANE
Last Name:MAURIER
Suffix:
Gender:F
Credentials:LICSW, MLADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 OLD ROUTE 28 UNIT 37
Mailing Address - Street 2:
Mailing Address - City:OSSIPEE
Mailing Address - State:NH
Mailing Address - Zip Code:03864-5001
Mailing Address - Country:US
Mailing Address - Phone:603-371-3435
Mailing Address - Fax:833-427-1397
Practice Address - Street 1:115 OLD ROUTE 28
Practice Address - Street 2:
Practice Address - City:OSSIPEE
Practice Address - State:NH
Practice Address - Zip Code:03864-5001
Practice Address - Country:US
Practice Address - Phone:603-371-3435
Practice Address - Fax:833-427-1397
Is Sole Proprietor?:No
Enumeration Date:2020-12-23
Last Update Date:2025-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1185101YA0400X
NHEL05492101YA0400X
VT151.0134103101YA0400X
NHEL065751041C0700X
NH25381041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)