Provider Demographics
NPI:1427759984
Name:AMADOR, MIGUEL (LCSW)
Entity type:Individual
Prefix:
First Name:MIGUEL
Middle Name:
Last Name:AMADOR
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:212 ELMIRA TRL
Mailing Address - Street 2:
Mailing Address - City:HOPATCONG
Mailing Address - State:NJ
Mailing Address - Zip Code:07843-1007
Mailing Address - Country:US
Mailing Address - Phone:973-479-9439
Mailing Address - Fax:
Practice Address - Street 1:30 SARGEANT AVE FL 2
Practice Address - Street 2:
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07013-2047
Practice Address - Country:US
Practice Address - Phone:973-479-9439
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-13
Last Update Date:2023-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC06004700101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health