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

Brian R Amidon, LCSW

Individual provider Social Worker · NPI 1417029026

Brian R Amidon, LCSW is a Social Worker in Syracuse, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
Specialties on file
2
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

725 Irving Ave
Syracuse, NY 13210-1603
Phone: (315) 464-5538
Fax: (315) 464-5579
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 083385 (NY)
Social Worker Taxonomy 104100000X · Licence 072991 (NY)

Record details

NPI number1417029026
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedNovember 15, 2006
Last updated in NPPESAugust 12, 2015

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