Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Amanda Wyatt, LCSW

Individual provider Clinical Social Worker · NPI 1861099467

Amanda Wyatt, LCSW is a Clinical Social Worker in New York, New York. Qualified in 2021, 5 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in New York.

Years since qualifying
5
Licensed in
NY
In the registry since
2020
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

57 W 57th St Ste 1101
New York, NY 10019-2814
Phone: (800) 381-7340
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 279 E 44th St Apt 15c, New York, NY 10017-4353 — (646) 853-2445

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 102333 (NY)

Record details

NPI number1861099467
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedOctober 6, 2020
Last updated in NPPESAugust 7, 2026
Certification dateAugust 7, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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