AMANDA SHERMAN (NPI# 1255877148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255877148 |
| Entity Type | Individual |
| Full Name | AMANDA SHERMAN |
| Credential | APSW, SAC-IT |
| Practice Address |
6321 23rd Ave Kenosha WI 53143-4801 |
| Practice Telephone | 4144553879 |
| Practice Fax Number | 8667193024 |
| Mailing Telephone | 4144553879 |
| Mailing Fax Number | 8667193024 |
| Enumeration Date | 2017-01-16 |
| Last Update Date | 2017-01-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
17909-130 | WI | Behavioral Health & Social Service Providers |
| Y | 104100000X | Social Worker | 130498-121 | WI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295382588 | Amanda Mary Sherman | Technician | 901 S 4th St, Aurora, IL 60505-5151 | 2019-08-21 |
| 1164081030 | Amanda Katherine Sherman | Student in an Organized Health Care Education/Training Program | 41 Mall Rd, Burlington, MA 01805-0001 | 2019-06-13 |
| 1114490737 | Amanda Sherman | Physical Therapist | 765 Allens Ave, Providence, RI 02905-5443 | 2019-01-07 |
| 1063928869 | Amanda M. Sherman | Speech-Language Pathologist | 2251 E Paris Ave Se, Grand Rapids, MI 49546-2431 | 2017-12-17 |
| 1265605760 | Amanda Gail Sherman | Obstetrics & Gynecology | 2000 Mon Health Medical Park Dr Ste 2100, Morgantown, WV 26505-1134 | 2008-04-07 |
| Street Address |
6321 23RD AVE |
| City | KENOSHA |
| State | WI |
| Zip Code | 53143-4801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407490832 | Kelsey Kristen Garcia | Counselor | 6321 23rd Ave, Kenosha, WI 53143-4805 | 2019-10-29 |
| 1740786912 | Samantha Olson | Marriage & Family Therapist | 6321 23rd Ave, Kenosha, WI 53143-4801 | 2018-04-04 |
| 1013411693 | Ann M Grossman | Counselor | 6321 23rd Ave, Kenosha, WI 53143-4801 | 2018-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891262275 | Shanda L Goecks | Registered Nurse | 6916 26th Ave, Kenosha, WI 53143 | 2018-10-24 |
| 1689942989 | Racine Kenosha Community Action Agency | Public Health or Welfare | 2000 63rd Street, Kenosha, WI 53143 | 2011-12-01 |
| 1538497797 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 7525 Sheridan Rd, Kenosha, WI 53143 | 2009-11-30 |
| 1497929012 | Ebba M Johnson | Physical Therapist | 524 74th Street, Kenosha, WI 53143 | 2008-04-15 |
| 1770789489 | Kenosha Community Health Center, Inc | Family Medicine | 6226 14th Ave, Kenosha, WI 53143 | 2007-06-21 |
| 1558413161 | Junith M Thompson | Obstetrics & Gynecology | 6530 Sheridan Road, Kenosha, WI 53143 | 2007-01-17 |
| 1154471332 | Ljh Ambulance, Inc | Ambulance | 6329 28th Ave, Kenosha, WI 53143 | 2007-01-11 |
| 1578625794 | Michael A Schellpfeffer Md Ob Gyn Sc | Obstetrics & Gynecology | 1400 75th Street, Kenosha, WI 53143 | 2006-12-14 |
| 1457468654 | Yasmine S Sido | Physician Assistant | 7550 22nd Ave, Kenosha, WI 53143 | 2006-08-24 |
| 1356307359 | Nancy Jane Houtchens | Dentist | 7533 22nd Ave, Ste 100, Kenosha, WI 53143 | 2006-04-26 |
| Find all providers in zip 53143 | ||||
| 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 |
|---|---|---|---|---|
| 1225641392 | Eunice Boatin | Social Worker | Kenosha Human Development Services, 3536 52nd Street, Kenosha, WI 53144 | 2020-08-28 |
| 1811500358 | Kristen A Palmer | Social Worker | 3536 52nd St, Kenosha, WI 53144-2662 | 2020-08-25 |
| 1245773480 | Rochelle Anderson-moore | Social Worker | 3623 15th St, Apt 2b, Kenosha, WI 53144-4713 | 2016-11-21 |
| 1013264555 | Jessie Michelle Lohr | Social Worker | 4806 27th St, Kenosha, WI 53144-1360 | 2012-08-14 |
| 1033718440 | Mackenzie Dodge | Social Worker | 2108 63rd St, Kenosha, WI 53143-4454 | 2020-10-19 |
| 1407454572 | Reed Stanek | Social Worker | 4536 22nd Ave, Kenosha, WI 53140-5917 | 2020-10-12 |
| 1770181844 | Anna Rose Amari | Social Worker | 4536 22nd Ave, Kenosha, WI 53140-5917 | 2020-10-12 |
| 1356958995 | Antigona Bajraktari | Social Worker | 4109 67th St, Kenosha, WI 53142-3836 | 2020-09-28 |
| 1588122253 | Carissa Johnson | Social Worker | 2108 63rd St, Kenosha, WI 53143-4454 | 2019-03-12 |
| 1780166603 | Evoanna Kelley | Social Worker | 2108 63rd St, Kenosha, WI 53143-4454 | 2018-09-06 |
| Find all providers in KENOSHA | ||||
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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.