Provider Demographics
NPI:1548493232
Name:EDWARDS DOHENY, AMANDA J (LCSW)
Entity type:Individual
Prefix:MRS
First Name:AMANDA
Middle Name:J
Last Name:EDWARDS DOHENY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MRS
Other - First Name:AMANDA
Other - Middle Name:J
Other - Last Name:EDWARDS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:1 N BROADWAY
Mailing Address - Street 2:SUITE 704
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10601-2310
Mailing Address - Country:US
Mailing Address - Phone:914-385-1150
Mailing Address - Fax:914-385-1155
Practice Address - Street 1:1 N BROADWAY
Practice Address - Street 2:SUITE 704
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10601-2310
Practice Address - Country:US
Practice Address - Phone:914-385-1150
Practice Address - Fax:914-385-1155
Is Sole Proprietor?:No
Enumeration Date:2009-08-27
Last Update Date:2013-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0803741041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical