AMANDA SOUTHWELL (NPI# 1821410713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821410713 |
| Entity Type | Individual |
| Full Name | AMANDA SOUTHWELL |
| Credential | LCSW CADC |
| Practice Address |
512 Affirmed Dr Oswego IL 60543 |
| Practice Telephone | 8479974134 |
| Mailing Telephone | 8479974134 |
| Enumeration Date | 2014-01-10 |
| Last Update Date | 2014-01-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
149016324 | IL | Behavioral Health & Social Service Providers |
| Street Address |
512 AFFIRMED DR |
| City | OSWEGO |
| State | IL |
| Zip Code | 60543 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932687332 | Graceful Therapy, LLC | Marriage & Family Therapist | 2683 Route 34, Oswego, IL 60543 | 2018-07-30 |
| 1235669763 | Elizabeth Lassandrello Bremner | Counselor | 123 W. Washington St, Oswego, IL 60543 | 2017-06-18 |
| 1205365699 | The Wisdom Shuttle, Inc. | Non-emergency Medical Transport (VAN) | 234 Springbrook Trail South, Oswego, IL 60543 | 2017-06-08 |
| 1477003267 | Smart Choice Mri, LLC | Clinic/Center | 2752 Us Highway 34, Oswego, IL 60543 | 2016-10-05 |
| 1033588686 | George Pearah | Internal Medicine | 408 Sudbury Circle, Oswego, IL 60543 | 2015-09-24 |
| 1619375078 | Kathryn Elyse Fish | Marriage & Family Therapist | 123 W Washington St Ste B-08, Oswego, IL 60543 | 2014-12-16 |
| 1073852158 | James A. Sandrolini | Surgery | 245 Gray's Dr., Oswego, IL 60543 | 2013-02-08 |
| 1649514035 | Kelly L Mangler | Pharmacist | 2030 Route 34, Oswego, IL 60543 | 2012-11-26 |
| 1730483280 | Little Talkers, Speech and Language Therapy, LLC | Speech-Language Pathologist | 809 Barton Drive, Oswego, IL 60543 | 2010-12-27 |
| 1275847204 | Oswego East Dental Associates | Dentist | 1768 Douglas Rd, Oswego, IL 60543 | 2010-08-02 |
| Find all providers in zip 60543 | ||||
| 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 |
|---|---|---|---|---|
| 1245847409 | Susan M Severson | Social Worker | 435 Badger Ln, Oswego, IL 60543-7108 | 2020-09-30 |
| 1942852777 | Elizabeth Kingsbury-puscas | Social Worker | 1022 Douglas Rd, Oswego, IL 60543-5133 | 2019-07-11 |
| 1275096455 | Christina Elise Cooper | Social Worker | 490 Valentine Way, Oswego, IL 60543-4054 | 2019-04-13 |
| 1073077335 | Bradley Wolcott | Social Worker | 200 Fox Chase Dr N, Oswego, IL 60543-8889 | 2019-01-30 |
| 1497223002 | Dkoz Services Inc. | Social Worker | 76 W Van Buren St Unit A, Oswego, IL 60543-7211 | 2018-11-13 |
| 1285123711 | Ronald L Clark, Msw, Csw, PC | Social Worker | 106 W Utica St Ste G, Oswego, NY 13126-3059 | 2018-05-10 |
| 1386142958 | Caryn Mcnulty | Social Worker | 123 W Washington St Ste 325, Oswego, IL 60543-8254 | 2018-01-29 |
| 1902208929 | Heather A Johnson | Social Worker | 5 E Washington St Ste 2d, Oswego, IL 60543-8622 | 2014-09-22 |
| 1740548775 | Elaine Bishara Caraccioli | Social Worker | 142 W 2nd St, 1 A, Oswego, NY 13126-2547 | 2012-04-27 |
| 1083906887 | Sandra Lynn Waldron | Social Worker | 113 W Schuyler St, Oswego, NY 13126-1351 | 2011-05-11 |
| Find all providers in OSWEGO | ||||
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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.