AMANTHA H. PETERSON (NPI# 1225484850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225484850 |
| Entity Type | Individual |
| Full Name | AMANTHA H. PETERSON |
| Practice Address |
8136 Old Keene Mill Rd A-302 Springfield VA 22152-1850 |
| Practice Telephone | 7039138563 |
| Practice Fax Number | 7039138565 |
| Mailing Telephone | 7039138563 |
| Mailing Fax Number | 7039138565 |
| Enumeration Date | 2016-05-12 |
| Last Update Date | 2016-05-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
0904008146 | VA | Behavioral Health & Social Service Providers |
| Street Address |
8136 OLD KEENE MILL RD A-302 |
| City | SPRINGFIELD |
| State | VA |
| Zip Code | 22152-1850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003892571 | Elisabeth Rucker Raymond | Social Worker | 8136 Old Keene Mill Rd, A 206, Springfield, VA 22152-1850 | 2005-12-16 |
| 1215316138 | Brain Injury Servcies | Case Management | 8136 Old Keene Mill Rd, Suite B102, Springfield, VA 22152-1850 | 2015-05-26 |
| 1942630710 | Center for Attachment & Trauma Services, Inc. | Community/Behavioral Health | 8136 Old Keene Mill Rd, A-302, Springfield, VA 22152-1850 | 2013-11-15 |
| 1750640553 | Brittany Henshaw | Speech-Language Pathologist | 8136 Old Keene Mill Rd, Suite B-102, Springfield, VA 22152-1850 | 2012-05-14 |
| 1760767214 | Dudko Chiropractic LLC | Chiropractor | 8136 Old Keene Mill Rd, A314, Springfield, VA 22152-1850 | 2011-10-17 |
| 1013246511 | Mary Carol Owen | Social Worker | 8136 Old Keene Mill Rd, Suite 209-a, Springfield, VA 22152-1850 | 2009-12-11 |
| 1386881373 | Julia Williams Friar | Student in an Organized Health Care Education/Training Program | 8136 Old Keene Mill Rd, Suite A209, Springfield, VA 22152-1850 | 2009-01-13 |
| 1316156516 | Julie Rose Ruby | Acupuncturist | 8136 Old Keene Mill Rd, Suite B-218, Springfield, VA 22152-1850 | 2007-05-22 |
| 1275747826 | Inia Yevich-tunstall, Md | Specialist | 8136 Old Keene Mill Rd, A205, Springfield, VA 22152-1850 | 2007-05-10 |
| 1780729491 | Gretchen Trisha Grindle | Counselor | 8136 Old Keene Mill Rd, B-304, Springfield, VA 22152-1850 | 2007-02-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174140214 | Samantha Maria Puller | Physical Therapist | 8348 Traford Lane Suite 200, Springfield, VA 22152 | 2020-07-05 |
| 1780102335 | Illuminated Direction | Health Maintenance Organization | 6116 Rolling Road Suite 104, Springfield, VA 22152 | 2017-09-05 |
| 1023533650 | Megan H Morrow | Dentist | 5803 Rolling Rd Ste 211, Springfield, VA 22152 | 2017-08-04 |
| 1851815179 | Samantha Apoh | Registered Nurse | 6031 Sweet Oak Ct, Springfield, VA 22152 | 2017-07-28 |
| 1003366436 | Caitriona Hayes | Psychologist | 8134 Old Keene Mill Road, Suite 101, Springfield, VA 22152 | 2016-10-10 |
| 1114303450 | Catherine L Kestle | Social Worker | 8136 Old Keene Mill Rd, Suite A-302, Springfield, VA 22152 | 2015-08-10 |
| 1770999658 | Shehzad Muhammad Sajid | Dentist | 7200 Jillspring Ct, Springfield, VA 22152 | 2014-07-11 |
| 1063751295 | Rapfhel Adebowale Adenola | Nurse's Aide | 7541 Boston Blvd, Springfield, VA 22152 | 2013-02-07 |
| 1669742706 | Selamawit Harar | Pharmacist | 8414 Olk Keene Mill Rd, A, Springfield, VA 22152 | 2012-01-06 |
| 1275822116 | Elizabeth Diane Reed | Social Worker | 8440 Old Keene Mill Rd., Family Counseling of Springfield, Springfield, VA 22152 | 2011-03-31 |
| Find all providers in zip 22152 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629676929 | Katrina Louise Routh | Social Worker | 1310 E Kingsley St Ste B, Springfield, MO 65804-7238 | 2020-10-09 |
| 1194337022 | Loretta E. Buckwalter | Social Worker | 4401 Ridgewood Rd W, Springfield, OH 45503-6131 | 2020-08-21 |
| 1710596572 | Nichol Speciale | Social Worker | 3700 Kerry Blvd, Springfield, IL 62712-5858 | 2020-07-28 |
| 1124636162 | Sarah Ann Duffy | Social Worker | 6823 Floyd Ave, Springfield, VA 22150-2455 | 2020-07-15 |
| 1033736707 | Bernetta A Andrewin | Social Worker | 4481 Ash Grove Dr Ste A-d, Springfield, IL 62711-6358 | 2020-06-29 |
| 1013530856 | Christina Margaret White | Social Worker | 224 Springcreek Dr, Springfield, IL 62702-3469 | 2020-05-27 |
| 1295357192 | Luminary Counseling and Solutions, LLC | Social Worker | 319 E Madison St Ste 2c, Springfield, IL 62701-3120 | 2020-05-13 |
| 1861014326 | Marvin Merriweather Jr. | Social Worker | 510 E Apple Orchard Rd Ste 103, Springfield, IL 62703-4081 | 2020-05-07 |
| 1477182061 | Sean Edward Snyder | Social Worker | 578 Sheffield Dr, Springfield, PA 19064-2822 | 2020-04-06 |
| 1801429246 | David Aichroth Jr. | Social Worker | David Aichroth, 11 Dundar Rd Suite 105, Springfield, NJ 07081-2210 | 2020-02-13 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 22152 |
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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.