AMANDA DERR (NPI# 1396395398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396395398 |
| Entity Type | Individual |
| Full Name | AMANDA DERR |
| Credential | LCSW |
| Practice Address |
6950 Hillsdale Ct Indianapolis IN 46250-2040 |
| Mailing Address |
6626 E 75th St Indianapolis IN 46250-2805 |
| Practice Telephone | 3176217561 |
| Enumeration Date | 2019-09-12 |
| Last Update Date | 2020-07-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
34008627A | IN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | LCSW LICENSE | 34008627A | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 927 N Pennsylvania St, Indianapolis, IN 462041020 | 3176869779 |
| Street Address |
6950 HILLSDALE CT |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46250-2040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306845516 | Ann M Lovko | Psychologist | 6950 Hillsdale Ct, Indianapolis, IN 46250-2040 | 2005-07-19 |
| 1316561525 | Stephen Sipka | Social Worker | 6950 Hillsdale Ct, Indianapolis, IN 46250-2040 | 2020-06-03 |
| 1528690807 | Michelle Lynn Walkey-thornburg | Counselor | 6950 Hillsdale Ct, Indianapolis, IN 46250-2040 | 2020-02-05 |
| 1265074694 | Devon Jones | Social Worker | 6950 Hillsdale Ct, Indianapolis, IN 46250-2040 | 2019-10-17 |
| 1417507351 | Ashley N Thomas | Social Worker | 6950 Hillsdale Ct, Indianapolis, IN 46250-2040 | 2019-09-12 |
| 1457912420 | Jacqueline Black | Social Worker | 6950 Hillsdale Ct, Indianapolis, IN 46250-2040 | 2019-06-21 |
| 1275197675 | Kelsey Marfilius | Social Worker | 6950 Hillsdale Ct, Indianapolis, IN 46250-2040 | 2019-05-01 |
| 1992369045 | Princeton Stewart | Social Worker | 6950 Hillsdale Ct, Indianapolis, IN 46250 | 2019-04-24 |
| 1730647504 | Melanie Carlson | Social Worker | 6950 Hillsdale Ct, Indianapolis, IN 46250-2040 | 2019-03-11 |
| 1194294249 | Heather Kenjorski | Social Worker | 6950 Hillsdale Ct, Indianapolis, IN 46250-2040 | 2018-11-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861037004 | Angela L Davis | Pharmacist | 8520 Bash St, Indianapolis, IN 46250 | 2019-11-12 |
| 1710455738 | Physicians Wellness Associates LLC | Family Medicine | 4735 Statesmen Drive, Suite C, Indianapolis, IN 46250 | 2018-11-07 |
| 1891222584 | Confidential Drug LLC | Pharmacy | 8520 Bash St Ste D, Indianapolis, IN 46250 | 2017-05-12 |
| 1659813590 | Occupational Health Centers of The Southwest Pa | Clinic/Center | 8257 Center Run Rd, Indianapolis, IN 46250 | 2016-11-09 |
| 1194275669 | Lucina Treatment Center, LLC | Internal Medicine | 8140 Castleton Rd, Indianapolis, IN 46250 | 2016-10-09 |
| 1609126150 | Joseph Lee Deck | Physical Therapist | 7400 Jewel Lane, Indianapolis, IN 46250 | 2012-09-12 |
| 1447508254 | Choices Coordinated Care Solutions, Inc. | Clinic/Center | 7941 Castleway Drive, Indianapolis, IN 46250 | 2012-08-28 |
| 1568719854 | Lynda L. Blackwelder, LLC | Marriage & Family Therapist | 4735 Statesmen Dr., Suite A, Indianapolis, IN 46250 | 2012-08-06 |
| 1972859452 | Courtney B. Cortez | Nurse Practitioner | 12400 N Meridian Ste 100, Suite 500, Indianapolis, IN 46250 | 2012-08-02 |
| 1861761934 | Kb Medical, Inc. | Durable Medical Equipment & Medical Supplies | 8455, Castlewood Drive, Suite J, Idianapolis, IN 46250 | 2011-12-20 |
| Find all providers in zip 46250 | ||||
| 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 |
|---|---|---|---|---|
| 1942808886 | Joan Marie Witt | Social Worker | 205 E Hickory Ln, Indianapolis, IN 46227-2447 | 2020-10-13 |
| 1821695008 | Belinda Shelton Gamble | Social Worker | 9650 E Washington St Ste 245, Indianapolis, IN 46229-3032 | 2020-10-01 |
| 1225642234 | Charlotte Cox | Social Worker | 124 N Oriental St, Indianapolis, IN 46202-3842 | 2020-09-07 |
| 1477167641 | Laura Marie Lines | Social Worker | 9165 Otis Ave Ste 215, Indianapolis, IN 46216-2316 | 2020-09-03 |
| 1477167815 | Cydaria Lashon Cooke | Social Worker | 7909 Preservation Dr, Indianapolis, IN 46278-9553 | 2020-09-02 |
| 1790396760 | Restored Pieces LLC | Social Worker | 7210 Mars Dr, Indianapolis, IN 46241-3693 | 2020-08-13 |
| 1215546973 | Tammy M Skinner | Social Worker | 1633 N Capitol Ave # Mt301, Indianapolis, IN 46202-1261 | 2020-07-29 |
| 1922626092 | Heartland Healing Counseling Services | Social Worker | 2432 Conservatory Dr Fl 2, Indianapolis, IN 46203-3985 | 2020-07-06 |
| 1710504980 | Salma Mohiuddin | Social Worker | 3418 Bodelva Ln, Indianapolis, IN 46228-2894 | 2020-07-02 |
| 1427673052 | Sanders Empowerment Services LLC | Social Worker | 5026 Clarkson Drive, Indianapolis, IN 46254 | 2020-06-09 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46250 |
Please comment or provide details below to improve the information on AMANDA DERR.
| 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.