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MS. AMANDA WAGERIK-FASANO LMSW, CASAC-T
NPI 1750659215
Specialist in Staten Island, NY

Active since December 12, 2011
3911 RICHMOND AVE, STATEN ISLAND, NY 10312(718) 948-3232(718) 966-6605 Get Directions Write a Review

NPPES record last updated: May 8, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Amanda Wagerik-fasano Lmsw, Casac-t NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. AMANDA WAGERIK-FASANO LMSW, CASAC-T (NPI 1750659215) is an individual specialist in Staten Island, New York and active in the NPI registry since December 2011.

NPPES Registry Identity

NPI1750659215
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameMS. AMANDA WAGERIK-FASANOCredential: LMSW, CASAC-T
Location Address3911 RICHMOND AVEStaten Island, NY 10312-5110
Mailing Address3911 Richmond AveStaten Island, NY 10312-5110 · (718) 948-3232 · Fax (718) 966-6605
Phone(718) 948-3232
Fax(718) 966-6605
Sole ProprietorYes
Enumeration DateDecember 12, 2011
Last NPPES UpdateMay 8, 2019
✔ NPI 1750659215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
3911 RICHMOND AVE, Staten Island, NY 10312
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Other Names 1

Former Name (1)Ms. Amanda Cruz

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

YMCA OF GREATER NEW YORK
Clinic/Center (Rehabilitation, Substance Use Disorder)
3911 RICHMOND AVE
STATEN ISLAND, NY 10312
Richmond County (718) 948-3232
WILLIAM COBB CASAC-T
Counselor (Addiction (Substance Use Disorder))
3911 RICHMOND AVE
STATEN ISLAND, NY 10312
Richmond County (718) 948-3232
AMANDA WEXLER LCSW
Social Worker (Clinical)
3911 RICHMOND AVE
STATEN ISLAND, NY 10312
Richmond County (718) 948-3232
DARIEN HIMI
Counselor
3911 RICHMOND AVE
STATEN ISLAND, NY 10312
Richmond County (718) 948-3232
BARBARA ANN KELLY CASACT
Counselor (Addiction (Substance Use Disorder))
3911 RICHMOND AVE
STATEN ISLAND, NY 10312
Richmond County (718) 948-3232
OLGA AFANASEVA
Social Worker
3911 RICHMOND AVE
STATEN ISLAND, NY 10312
Richmond County (718) 948-3232
MELISSA ANN TORRES C.A.S.A.C
Counselor (Addiction (Substance Use Disorder))
3911 RICHMOND AVE
STATEN ISLAND, NY 10312
Richmond County (718) 948-3232
SAMANTHA ANN WERLICK
Counselor (Mental Health)
3911 RICHMOND AVE
STATEN ISLAND, NY 10312
Richmond County (718) 689-4502

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Wagerik-fasano's NPI number?

The NPI number for Amanda Wagerik-fasano is 1750659215. It was assigned to this individual provider in the NPPES registry on December 12, 2011. The provider is also known as Ms. Amanda Cruz.

Where is Amanda Wagerik-fasano located?

Amanda Wagerik-fasano practices at 3911 Richmond Ave, Staten Island, NY 10312. The listed phone number is (718) 948-3232.

What is Amanda Wagerik-fasano's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Amanda Wagerik-fasano was last updated on May 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.