Provider Demographics
NPI:1750883492
Name:NEMITZ, AMAN SINGH (MSW)
Entity type:Individual
Prefix:MRS
First Name:AMAN
Middle Name:SINGH
Last Name:NEMITZ
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1222 SE 47TH ST STE 215
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33904-9679
Mailing Address - Country:US
Mailing Address - Phone:239-810-0919
Mailing Address - Fax:
Practice Address - Street 1:1222 SE 47TH ST STE 215
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33904-9679
Practice Address - Country:US
Practice Address - Phone:239-810-0919
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-07
Last Update Date:2018-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL118491041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical