AMANDA WYLIE (NPI# 1821518515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821518515 |
| Entity Type | Individual |
| Full Name | AMANDA WYLIE |
| Credential | LMSW |
| Practice Address |
3800 S Broadway Saint Louis MO 63118 |
| Mailing Address |
118 N 2nd St Ste 200 Saint Charles MO 63301-2894 |
| Practice Telephone | 3147722205 |
| Practice Fax Number | 3147729264 |
| Mailing Telephone | 6362241210 |
| Mailing Fax Number | 6369460991 |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2018-10-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3800 S Broadway, Saint Louis, MO 63118 | 3147722205 | 3147729264 |
| Street Address |
3800 S BROADWAY |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164557468 | Paul E. Niemoeller | Counselor | 3800 S Broadway, Saint Louis, MO 63118-4608 | 2007-02-23 |
| 1720557416 | Kenya Yvette Boyd | Counselor | 3800 S Broadway, Saint Louis, MO 63118-4608 | 2018-11-26 |
| 1982173092 | Beverly J Barnes | Licensed Practical Nurse | 3800 S Broadway, Saint Louis, MO 63118-4608 | 2018-11-19 |
| 1235647488 | Briana C Allen | Registered Nurse | 3800 S Broadway, Saint Louis, MO 63118-4608 | 2018-01-22 |
| 1265949192 | Joseph Mokwa | Counselor | 3800 S Broadway, Saint Louis, MO 63118-4608 | 2017-12-31 |
| 1255842704 | Matthew William Vaporean | Social Worker | 3800 S Broadway, Saint Louis, MO 63118-4608 | 2017-10-23 |
| 1861918047 | Olivia Mccarten | Social Worker | 3800 S Broadway, Saint Louis, MO 63118-4608 | 2017-08-18 |
| 1417383605 | Temeaka S Borum | Registered Nurse | 3800 S Broadway, Saint Louis, MO 63118-4608 | 2013-09-19 |
| 1861738890 | Jennifer M Kennett | Registered Nurse | 3800 S Broadway, Saint Louis, MO 63118-4608 | 2012-12-19 |
| 1144572991 | Maureen A Downs | Social Worker | 3800 S Broadway, Saint Louis, MO 63118-4608 | 2012-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770149023 | Clouds of Care In-home Healthcare Services LLC | Hospice Care, Community Based | 3450 Magnolia Ave, Saint Louis, MO 63118 | 2019-05-13 |
| 1154839488 | Serenity Gardens Home Health Services LLC. | Home Health | 3002 S Jefferson Ave Ste 201, Saint Louis, MO 63118 | 2018-01-22 |
| 1861917759 | Freedom Day Center, LLC | Meals | 3309 Meramec Street, Saint Louis, MO 63118 | 2017-08-11 |
| 1669901450 | Stanley Eziukwu | Student in an Organized Health Care Education/Training Program | 3535 S Jefferson Ave Ste 104, Saint Louis, MO 63118 | 2017-06-06 |
| 1467987651 | Hinna Shahid | Internal Medicine | 3545 South Jefferson Ave, St. Louis, MO 63118 | 2017-04-25 |
| 1225436959 | Shelley Stretch | Counselor | 4066 Dunnica Avenue, St. Louis, MO 63118 | 2014-12-11 |
| 1821406174 | Preferred Family Healthcare, Inc | Substance Abuse Rehabilitation Facility | 4066 Dunnica, Saint Louis, MO 63118 | 2014-07-31 |
| 1275898173 | Stephanie Lynn Cullinan | Optometrist | 3122 S Grand, St. Louis, MO 63118 | 2012-07-07 |
| 1174822555 | Morgan Patrick Morris | Chiropractor | 3611 S. Grand Blvd, Suite 200, Saint Louis, MO 63118 | 2011-03-24 |
| 1043481955 | Victor Rivera Md LLC | Obstetrics & Gynecology | 3535 S Jefferson, Suite 106, St Louis, MO 63118 | 2008-03-19 |
| Find all providers in zip 63118 | ||||
| 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 |
|---|---|---|---|---|
| 1760097182 | Laura Ranalletta | Social Worker | 877 Queen Anne Pl, Saint Louis, MO 63122-3143 | 2020-09-11 |
| 1861007502 | Helene Foster Platke | Social Worker | 11681 Summerhaven Dr, Saint Louis, MO 63146-5441 | 2020-09-10 |
| 1063027811 | Elizabeth Stonefield | Social Worker | 8188 Middlevalley Trl, Saint Louis, MO 63123-2415 | 2020-09-09 |
| 1770195729 | Kyla Hadenfeldt | Social Worker | 4562a Loughborough Ave, Saint Louis, MO 63116-1131 | 2020-08-20 |
| 1093327587 | Lori B Goldenberg | Social Worker | 3 Winfield Pointe Ln, Saint Louis, MO 63141-7710 | 2020-08-18 |
| 1831701473 | Michael David Galvin | Social Worker | 3425 Humphrey St, Saint Louis, MO 63118-2720 | 2020-08-17 |
| 1265043376 | Matt Fanning | Social Worker | 9378 Olive Blvd Ste 205, Saint Louis, MO 63132-3223 | 2020-08-12 |
| 1235748765 | Celia Rose Mcmanus | Social Worker | 10004 Kennerly Rd Ste 280b, Saint Louis, MO 63128-2177 | 2020-07-30 |
| 1841809019 | Danielle Denise Collins | Social Worker | 12360 Creek Run Dr Apt M, Saint Louis, MO 63141-6579 | 2020-07-23 |
| 1730797176 | Jill Louise Medintz | Social Worker | 130 S Bemiston Ave Ste 704a, Saint Louis, MO 63105-1913 | 2020-07-22 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63118 |
Please comment or provide details below to improve the information on AMANDA WYLIE.
| 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.