Provider Demographics
NPI:1568353423
Name:DITOTO, AMY MARIE (LMSW)
Entity type:Individual
Prefix:MS
First Name:AMY
Middle Name:MARIE
Last Name:DITOTO
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:368 TIOGA AVE
Mailing Address - Street 2:
Mailing Address - City:KINGSTON
Mailing Address - State:PA
Mailing Address - Zip Code:18704-5117
Mailing Address - Country:US
Mailing Address - Phone:570-287-9681
Mailing Address - Fax:
Practice Address - Street 1:102 ROCK STREET
Practice Address - Street 2:(570) 569-2838
Practice Address - City:HUGHESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18640
Practice Address - Country:US
Practice Address - Phone:570-569-2838
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-10
Last Update Date:2025-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW143029104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker