Provider Demographics
NPI:1306650312
Name:MACNEILL RICKEY, AMY
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:MACNEILL RICKEY
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 1:30 WINNACUNNET RD
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:NH
Mailing Address - Zip Code:03842-2121
Mailing Address - Country:US
Mailing Address - Phone:508-932-2598
Mailing Address - Fax:
Practice Address - Street 1:30 WINNACUNNET RD
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:NH
Practice Address - Zip Code:03842-2121
Practice Address - Country:US
Practice Address - Phone:508-932-2598
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-03
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical