Amy Galloway, LCSW
Social Worker, Clinical in West Melbourne, FL. Individual provider (NPI-1).
NPI number1689422016
StatusActive
Last updated in NPPESApr 5, 2025
Details
- NPI
- 1689422016
- Entity type
- Individual (NPI-1)
- Name
- Amy Galloway
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 9, 2024
- Certification date
- Apr 5, 2025
- Last updated
- Apr 5, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 109551 | TX | Yes |
Practice location
3330 Charon AveWest Melbourne, FL 32904-7579
Phone 952-288-4974
Mailing address
3330 Charon AveWest Melbourne, FL 32904-7579
Phone 952-288-4974
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