AMANDA R LEWIS


Address: 1405 N Green Mount Rd Ste 230, O Fallon, IL 62269-3494
Phone: 6183345571

AMANDA R LEWIS (NPI# 1518360171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518360171
Entity Type Individual
Full Name AMANDA R LEWIS
Credential LCSW
Practice Address 1405 N Green Mount Rd Ste 230
O Fallon
IL 62269-3494
Practice Telephone 6183345571
Practice Fax Number 6185518955
Mailing Telephone 6183345571
Mailing Fax Number 6185518955
Enumeration Date 2014-09-26
Last Update Date 2019-02-20
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
149.018245 IL Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1161 Fortune Blvd, Shiloh, IL 622697385 6183345571 6182068476

Other Providers AMANDA LEWIS

NPI Name Taxonomy Address Enumeration
1619458130 Amanda Maureen Lewis Counselor 88 Auckland St Apt 3, Dorchester, MA 02125-3327 2018-08-23
1780178038 Amanda Lewis Speech-Language Pathologist 1781 W Placita De Vanegas, Tucson, AZ 85704-1000 2018-06-20
1346751435 Amanda Nicole Lewis Speech-Language Pathologist 465 New Dorp Lane, The Richard H. Hungerford School, Staten Island, NY 10306 2017-10-17
1902328735 Amanda S Lewis Social Worker 66 Hermans Ln, Crossville, TN 38555-4314 2017-07-13
1780110445 Amanda Lewis Physician Assistant 6086 S Iola Way, Englewood, CO 80111-5705 2017-05-02
1659793032 Amanda Lewis Behavioral Analyst 6915 Shavelson St, Houston, TX 77055-7630 2014-01-20
1972949048 Amanda Lewis Allergy & Immunology 10607 Quaker Ave Unit 102, Lubbock, TX 79424-8465 2013-05-16
1467535138 Amanda G Lewis Nurse Practitioner 1055 N 300 W Ste 401, Provo, UT 84604-3306 2006-10-24
1427091842 Amanda Jane Lewis Dentist 2220 N Monroe St, Decatur, IL 62526-6304 2006-06-14
1316550825 Amanda Lewis Counselor 770 Woodlane Rd, Westampton, NJ 08060-3804 2020-08-25

Office Location

Street Address 1405 N GREEN MOUNT RD STE 230
City O FALLON
State IL
Zip Code 62269-3494

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1326648155 Kayla Revermann Pharmacist 1350 W Us Highway 50, Pharmacy, O Fallon, IL 62269 2020-10-30
1942814272 Ashley Monique Gibson Behavior Technician Eagle Center, Ste 10, Ofallon, IL 62269 2020-09-03
1013533819 Michelle Denise Voudrie Registered Nurse 321 Regency Park, O'fallon, IL 62269 2020-06-18
1598398455 Washington University Physicians In Illinois - Cancer Center Pharmacy Pharmacy 1418 Cross Street, Suite 180, Shiloh, IL 62269 2020-02-19
1962063800 Gerald Paskert Pharmacist 122 W. State St., O'fallon, IL 62269 2019-06-21
1780144808 Bonnie Jean Lampe Physical Therapy Assistant 316 Donna Dr, O'fallon, IL 62269 2019-03-24
1134633993 Latisha Smith Psychologist 600 S. Smiley St., O'fallon, IL 62269 2017-11-30
1619407210 Brenna M Thomas Registered Nurse 1310 Engle Ct, O'fallon, IL 62269 2017-06-15
1881135622 Pc Associates, LLC Family Medicine 800 East Highway 50, O'fallon, IL 62269 2017-03-13
1700230539 Jennifer Farrell Family Medicine 3 St. Elizabeth's Blvd, Ste. 4000, O'fallon, IL 62269 2016-04-18
Find all providers in zip 62269

Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750994620 Danielle Marie Harper Social Worker 210 Thorn Brook Dr, O Fallon, MO 63366-4975 2020-08-28
1720698236 Gina S Roppa Social Worker 1 Baldridge Ct, O Fallon, MO 63368-8233 2020-08-09
1194342170 Renata B Sledge Social Worker 1329 Pepperidge Dr, O Fallon, IL 62269-3041 2020-06-25
1417596156 Jessica Beasley Gunther Social Worker 201 S Hilgard St, O Fallon, IL 62269-2113 2019-12-28
1699250043 Bethany Besand Social Worker 7425 Heathermoor Ln, O Fallon, MO 63368-7232 2018-10-02
1508306622 Katie Kessler Social Worker 1100 Rock Creek Elementary School Dr, O Fallon, MO 63366-7577 2017-03-08
1659723591 Amy Vallem Social Worker 8 Eagle Ctr Ste 15, O Fallon, IL 62269-1947 2016-07-03
1992174759 Sandhill Counseling and Consultation, LLC Social Worker 801 Woodlawn Ave Ste 15, O Fallon, MO 63366-7647 2015-09-22
1033507652 Rachel Salazar Social Worker 209 Woodland Ct, O Fallon, IL 62269-3500 2015-01-05
1528472974 Katherine Amanda Dillon Social Worker 625 Portsmith Place Dr, O Fallon, IL 62269-7061 2014-06-13
Find all providers in O FALLON

Competitor

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City O FALLON
Zip Code 62269

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Dataset Information

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.

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