Provider Demographics
NPI:1699547935
Name:VASEY, AMANDA M (MSW, LCSW)
Entity type:Individual
Prefix:MRS
First Name:AMANDA
Middle Name:M
Last Name:VASEY
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:MS
Other - First Name:AMANDA
Other - Middle Name:M
Other - Last Name:HAPPANEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW, LSW
Mailing Address - Street 1:2047 PA ROUTE 309
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-9307
Mailing Address - Country:US
Mailing Address - Phone:484-276-4646
Mailing Address - Fax:484-558-2998
Practice Address - Street 1:2047 PA ROUTE 309
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18104-9307
Practice Address - Country:US
Practice Address - Phone:484-276-4646
Practice Address - Fax:484-558-2998
Is Sole Proprietor?:No
Enumeration Date:2023-10-30
Last Update Date:2024-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW135009104100000X
PACW0244741041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker