MRS. AMANDA SERIE (NPI# 1134526304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134526304 |
| Entity Type | Individual |
| Full Name | MRS. AMANDA SERIE |
| Credential | LSW |
| Practice Address |
322 N Main St Kokomo IN 46901-4622 |
| Practice Telephone | 7654538555 |
| Practice Fax Number | 7654538020 |
| Mailing Telephone | 7654538555 |
| Mailing Fax Number | 7654538020 |
| Enumeration Date | 2014-12-03 |
| Last Update Date | 2014-12-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 33006613A | IN | Behavioral Health & Social Service Providers |
| Street Address |
322 N MAIN ST |
| City | KOKOMO |
| State | IN |
| Zip Code | 46901-4622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407830599 | Matthew Nathaniel Isaac Oliver | Psychologist | 322 N Main St, Kokomo, IN 46901-4622 | 2005-12-01 |
| 1558906685 | Jovan Shumpert | Counselor | 322 N Main St, Kokomo, IN 46901-4622 | 2019-11-13 |
| 1467096339 | Matthew Matteson | Social Worker | 322 N Main St, Kokomo, IN 46901-4622 | 2019-11-04 |
| 1265994180 | Lindsey N Morgan | Nurse Practitioner | 322 N Main St, Kokomo, IN 46901-4622 | 2019-04-01 |
| 1679099055 | Kyle Roussey | Social Worker | 322 N Main St, Kokomo, IN 46901-4622 | 2017-08-17 |
| 1962869917 | Marie Yager | Social Worker | 322 N Main St, Kokomo, IN 46901-4622 | 2016-01-21 |
| 1235505942 | Greg Edie | Social Worker | 322 N Main St, Kokomo, IN 46901 | 2015-08-17 |
| 1770975328 | Jennifer Ashlee Cramer | Counselor | 322 N Main St, Kokomo, IN 46901-4622 | 2015-02-19 |
| 1386084556 | Bobbi J Siccardi | Social Worker | 322 N Main St, Kokomo, IN 46901 | 2013-07-02 |
| 1629353594 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 322 N Main St, Room 134, Kokomo, IN 46901-4622 | 2011-10-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922607597 | Momentum Kokomo, LLC | Substance Abuse Rehabilitation Facility | 1236 N. Wabash Ave, Kokomo, IN 46901 | 2020-10-23 |
| 1457826869 | Jodi Gayle Lake | Developmental Therapist | 2523 Lorentson Ct, Kokomo, IN 46901 | 2018-10-11 |
| 1871088369 | Hope Behavioral Servies, LLC | Behavioral Analyst | 924 Clark St, Kokomo, IN 46901 | 2018-06-27 |
| 1255782306 | Forefront Dermatology, S.c. | Dermatology | 2130 W Sycamore St Ste 200, Kokomo, IN 46901 | 2016-06-29 |
| 1164860706 | Renee Michelle Brown | Registered Nurse | 2776 Amberwood Place, Kokomo, IN 46901 | 2013-06-05 |
| 1063642916 | Michelle K Rush | Speech-Language Pathologist | 2532 Lauren Ln, Kokomo, IN 46901 | 2009-07-24 |
| 1396957189 | Lifetime Dental Care of In, PC | Dentist | 927 S Washington St, Kokomo, IN 46901 | 2007-05-04 |
| 1245458355 | Wagoner Medical Center, LLC | Internal Medicine | 2016 W Sycamore, Kokomo, IN 46901 | 2007-04-23 |
| 1053442723 | Jesusa Salhieh | Contractor | Genesis Rehab Bloom, Kokomo, IN 46901 | 2007-03-07 |
| 1740382928 | Donald A Fantuzzo Dds PC | Dentist | 2196 W Sycamore St, Kokomo, IN 46901 | 2006-09-01 |
| Find all providers in zip 46901 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275156978 | Desiree Stage | Social Worker | 2739 Albright Rd, Kokomo, IN 46902-3996 | 2020-05-28 |
| 1376179663 | Mary Elizabeth Schrock | Social Worker | 2739 Albright Rd, Kokomo, IN 46902-3996 | 2020-03-18 |
| 1477113843 | Kristen Elise Dresbach | Social Worker | 194 E Southway Blvd, Kokomo, IN 46902-3650 | 2019-06-18 |
| 1972160141 | Paul Novak | Social Worker | 2739 Albright Rd, Kokomo, IN 46902-3996 | 2019-05-23 |
| 1326527664 | Kelly Ann Lewis | Social Worker | 2739 Albright Rd, Kokomo, IN 46902-3996 | 2018-08-08 |
| 1043749948 | Tiffany Ann Creager | Social Worker | 1948 W Boulevard, Kokomo, IN 46902-6078 | 2017-06-06 |
| 1659732709 | Tracey Renae Fisher | Social Worker | 194 E Southway Blvd, Kokomo, IN 46902-3650 | 2016-03-17 |
| 1396136859 | Taren L Duncan-faucett | Social Worker | 1948 W Boulevard, Kokomo, IN 46902-6078 | 2015-02-05 |
| 1972832798 | Paige R Pine | Social Worker | 1531 Rockford Ct, Kokomo, IN 46902-3207 | 2009-12-08 |
| 1225294218 | Brooke Dehart | Social Worker | 322 N Main St, Kokomo, IN 46901-4622 | 2008-07-30 |
| Find all providers in KOKOMO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.