MRS. AMANDA PETRIC (NPI# 1760863419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760863419 |
| Entity Type | Individual |
| Full Name | MRS. AMANDA PETRIC |
| Other Name | MISS AMANDA PEEBELS |
| Credential | LISW-S |
| Practice Address |
6100 Oak Tree Blvd Ste 200 Independence OH 44131-6914 |
| Practice Telephone | 3305188334 |
| Practice Fax Number | 4406288123 |
| Mailing Telephone | 3305188334 |
| Mailing Fax Number | 4406288123 |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2020-01-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
I.1800880-SUPV | OH | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0277372 | 05 | |
| OH | CSWMFT | I.1800880-SUPV | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2000 Auburn Dr Ste 200, Beachwood, OH 441224328 | 3305188334 | 4406288123 |
| 6100 Oak Tree Blvd Ste 200, Independence, OH 441316914 | 3305188334 | 4406288123 |
| Street Address |
6100 OAK TREE BLVD STE 200 |
| City | INDEPENDENCE |
| State | OH |
| Zip Code | 44131-6914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669010302 | Wound Pros Ohio | Durable Medical Equipment & Medical Supplies | 6100 Oak Tree Blvd Ste 200, Independence, OH 44131-6914 | 2019-12-12 |
| 1689229379 | Kelsey Joan Armentrout | Counselor | 6100 Oak Tree Blvd Ste 200, Independence, OH 44131-6914 | 2019-08-08 |
| 1851879134 | Sally Galanti | Psychologist | 6100 Oak Tree Blvd Ste 200, Independence, OH 44131-6914 | 2018-07-30 |
| 1912420019 | Avril Charlette Sargeant | Counselor | 6100 Oak Tree Blvd Ste 200, Independence, OH 44131-6914 | 2017-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902457161 | Emilie Hadley | Case Manager/Care Coordinator | 5700 Rockside Rd, Independence, OH 44131 | 2019-09-27 |
| 1316404015 | Denise Ann Shannon | Licensed Practical Nurse | 4700 Rocksde Road, Suite 100, Independence, OH 44131 | 2019-02-28 |
| 1255898433 | Elizabeth Spence | Specialist/Technologist | 806 Tuxedo Ave, Brooklyn Hts, OH 44131 | 2019-02-25 |
| 1407356819 | Stefani Smithburger | Social Worker | 6200 Rockside Woods Blvd, Suite 305, Independence, OH 44131 | 2018-02-13 |
| 1881107092 | Christine M Hernandez | Nurse Practitioner | 2150 Oak Tree Blvd Suite 200, Independence, OH 44131 | 2017-11-09 |
| 1639698368 | Jessica Ann Phillips-donnelly | Social Worker | 5001 Rockside Road, Crown Center II, Independence, OH 44131 | 2017-09-13 |
| 1437692274 | Susan Meghan Davis | Registered Nurse | 925 Keynote Circle Suite #300, Brooklyn Hts, OH 44131 | 2016-11-28 |
| 1629431507 | Patricia Lynn Berger | Counselor | 6200 Rockside Woods Blvd. Suite 305, Independence, OH 44131 | 2016-03-30 |
| 1265810428 | Sarah Krakowiak | Speech-Language Pathologist | 3330 Wynde Tree Drive, Seven Hills, OH 44131 | 2015-05-08 |
| 1255732525 | Michelle Rioux-nivens | Nurse Practitioner | 6150 Oak Tree Boulevard, Suite 200, Independence, OH 44131 | 2014-09-05 |
| Find all providers in zip 44131 | ||||
| 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 |
|---|---|---|---|---|
| 1184274730 | Nathan Andrew Reed | Social Worker | 4913 Downey Ave, Independence, MO 64055-5319 | 2019-09-16 |
| 1891344511 | Kathleen M Daley | Social Worker | 842 Ridgepoint Dr, Independence, KY 41051-8389 | 2019-09-05 |
| 1154970887 | Alejandra Quintana | Social Worker | 3737 S Elizabeth St Ste 100, Independence, MO 64057-1785 | 2019-09-05 |
| 1437614435 | Lakeysha Renee Fontenot | Social Worker | 3737 S Elizabeth St Ste 200, Independence, MO 64057-1785 | 2019-02-04 |
| 1356855407 | Ashley Knight | Social Worker | 6200 Rockside Woods Blvd N Ste 310, Independence, OH 44131-2343 | 2017-11-28 |
| 1639698368 | Jessica Ann Phillips-donnelly | Social Worker | 5001 Rockside Road, Crown Center II, Independence, OH 44131 | 2017-09-13 |
| 1205355252 | Counseling Services of Kansas, LLC | Social Worker | 201 N Penn Ave Ste 401, Independence, KS 67301-3354 | 2017-09-11 |
| 1184141202 | Stone and Bush Homes,llc | Social Worker | 12600 E 40 Hwy Ste 101, Independence, MO 64055-5909 | 2017-08-29 |
| 1861930141 | Elizabeth M Higgins | Social Worker | 15814 E 24 Hwy, Independence, MO 64050-2015 | 2017-02-07 |
| 1699212894 | Stacy Steely | Social Worker | 700 E College St, Independence, MO 64050-3145 | 2017-01-25 |
| Find all providers in INDEPENDENCE | ||||
| City | INDEPENDENCE |
| Zip Code | 44131 |
Please comment or provide details below to improve the information on MRS. AMANDA PETRIC.
| 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.