Amanda R Southern (NPI# 1982945549, PAC ID# 6709194913) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1982945549 |
| PAC ID by PECOS | 6709194913 |
| Professional Enrollment ID | I20151007001252 |
| Full Name | Amanda R Southern |
| Organization Legal Name | TRAINING AND TREATMENT INNOVATIONS INC |
| Address |
929 Stevens St Flint MI 48502-1620 |
| Phone Number | 8102326081 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 1557323144 |
| Number of Group Practice Members | 23 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 929 Stevens St, Flint, MI 48502-1620 | 8102326081 | TRAINING AND TREATMENT INNOVATIONS INC |
| 15700 W 10 Mile Rd, Suite 106, Southfield, MI 48075-2100 | 2482416772 | TENDER HEART LLC |
| Organization Legal Name | TRAINING AND TREATMENT INNOVATIONS INC |
| Physicians | 26 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Emily Llanes | Clinical Social Worker | Training and Treatment Innovations Inc | 1225 E Big Beaver Rd, Troy, MI 48083-1905 |
| Geneva Harvey | Clinical Social Worker | Training and Treatment Innovations Inc | 929 Stevens St, Flint, MI 48502-1620 |
| April Ceno | Clinical Social Worker | Training and Treatment Innovations Inc | 13213 E 14 Mile Rd, Sterling Heights, MI 48312-6302 |
| Trisha S Taylor | Nurse Practitioner | Training and Treatment Innovations Inc | 304 S Niagora St, Saginaw, MI 48602-1570 |
| Humera Athar | Psychiatry | Training and Treatment Innovations Inc | 1450 S Lapeer Rd, Oxford, MI 48371-6108 |
| Michelle L Dickinson | Clinical Social Worker | Training and Treatment Innovations Inc | 1450 S Lapeer Rd, Oxford, MI 48371-6108 |
| Suzan C Robarge | Nurse Practitioner | Training and Treatment Innovations Inc | 1450 S Lapeer Rd, Oxford, MI 48371-6108 |
| Jamie L Clark | Clinical Social Worker | Training and Treatment Innovations Inc | 1450 S Lapeer Rd, Oxford, MI 48371-6108 |
| Kimberly Wheeler | Nurse Practitioner | Training and Treatment Innovations Inc | 1450 S Lapeer Rd, Oxford, MI 48371-6108 |
| Colleen M Biafore | Nurse Practitioner | Training and Treatment Innovations Inc | 1225 E Big Beaver Rd, Troy, MI 48083-1905 |
| Street Address |
929 STEVENS ST |
| City | FLINT |
| State | MI |
| Zip | 48502-1620 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Geneva Harvey | Clinical Social Worker | Training and Treatment Innovations Inc | 929 Stevens St, Flint, MI 48502-1620 |
| Lynnette S La Brecque | Clinical Social Worker | Training and Treatment Innovations Inc | 929 Stevens St, Flint, MI 48502-1620 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gary K Johnson | Pediatric Medicine | 630 S Saginaw St, Suite 4, Flint, MI 48502-1540 | |
| Jagdish K Shah | Internal Medicine | Genesys Integrated Group Practice PC | 307 E Court St, Flint, MI 48502-1611 |
| Deborah S Smith | Physical Therapy | Genesys Integrated Group Practice PC | 307 E Court St, Flint, MI 48502-1611 |
| Jeannette M Brunetti | Registered Dietitian Or Nutrition Professional | 225 E 5th St, Suite 200, Flint, MI 48502-1641 | |
| Kirk J Stucky | Psychologist, Clinical | Hurley Medical Center | 111 E Court St, 1b1 Hurley Clinical Psychologists, Flint, MI 48502-1649 |
| Lauren Marie Golla | Psychologist, Clinical | Hurley Medical Center | 111 E Court St, 1b1 Hurley Clinical Psychologists, Flint, MI 48502-1649 |
| Robert E Ennis Sr. | Clinical Social Worker | Ennis Center for Children Inc | 129 E 3rd St, Flint, MI 48502-1728 |
| Lisa L Horne | Clinical Social Worker | Ennis Center for Children Inc | 129 E 3rd St, Flint, MI 48502-1728 |
| Anton Strocel | Obstetrics/gynecology | Ascension Genesys Hospital | 420 S Saginaw St, Flint, MI 48502-1803 |
| Justin R Miller | Gastroenterology | Ascension Genesys Hospital | 420 S Saginaw St, Genesys Downtown Gi Cl, Flint, MI 48502-1803 |
| Find all physicians in zip 48502 | |||
| City | FLINT |
| Zip Code | 48502 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | FLINT + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Amanda R Southern.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.