Provider Demographics
NPI:1891521555
Name:WEISSMAN-HUNT, AMY ROSHANA (LCSW)
Entity type:Individual
Prefix:MS
First Name:AMY
Middle Name:ROSHANA
Last Name:WEISSMAN-HUNT
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2027 FELICITA RD
Mailing Address - Street 2:
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92025-5923
Mailing Address - Country:US
Mailing Address - Phone:602-750-0105
Mailing Address - Fax:
Practice Address - Street 1:2027 FELICITA RD
Practice Address - Street 2:
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92025-5923
Practice Address - Country:US
Practice Address - Phone:602-750-0105
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-10
Last Update Date:2024-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLCSW-115401041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical