Provider Demographics
NPI:1750195574
Name:DRAPKIN, AMANDA PAIGE
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:PAIGE
Last Name:DRAPKIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 STONEHEDGE DR
Mailing Address - Street 2:
Mailing Address - City:HARDYSTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07460-1101
Mailing Address - Country:US
Mailing Address - Phone:201-965-1494
Mailing Address - Fax:
Practice Address - Street 1:19 STONEHEDGE DR
Practice Address - Street 2:
Practice Address - City:HARDYSTON
Practice Address - State:NJ
Practice Address - Zip Code:07460-1101
Practice Address - Country:US
Practice Address - Phone:201-965-1494
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-03
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY121452104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker