MRS. AMANDA SMITH (NPI# 1013319839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013319839 |
| Entity Type | Individual |
| Full Name | MRS. AMANDA SMITH |
| Credential | MSS, LCSW, CAADC |
| Practice Address |
401 Pilgrim Ln Suite 103 Drexel Hill PA 19026-5000 |
| Practice Telephone | 4844766543 |
| Practice Fax Number | 4844500090 |
| Mailing Telephone | 4844766543 |
| Mailing Fax Number | 4844500090 |
| Enumeration Date | 2014-09-24 |
| Last Update Date | 2014-09-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
CW017861 | PA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508467010 | Amanda Dawn Smith | Physician Assistant | 1621 Spruce St, Zanesville, OH 43701-2534 | 2020-11-03 |
| 1689281297 | Amanda Joy Smith | Massage Therapist | 4915 Rue Vallee Apt 89, Indianapolis, IN 46227-6660 | 2020-09-28 |
| 1902422033 | Amanda Elaine Smith | Nurse Practitioner | 116 Tracy Miles Rd, Franklin, IN 46131-5547 | 2020-06-24 |
| 1619500519 | Amanda Leigh Smith | Marriage & Family Therapist | 1012 Greta St, El Cajon, CA 92021-3258 | 2020-02-19 |
| 1245861335 | Amanda Monique Leanne Smith | Massage Therapist | 4400 Bayou Blvd Ste 26b, Pensacola, FL 32503-1908 | 2020-01-28 |
| 1811544414 | Amanda Rae Smith | Behavior Technician | 105 Clubhouse Cir Apt 102, Idaho Falls, ID 83401-4328 | 2019-08-20 |
| 1306400072 | Amanda J Smith | Occupational Therapy Assistant | 8811 Sandy Plains Dr, Riverview, FL 33578-8619 | 2019-04-27 |
| 1861056079 | Amanda Lynn Smith | Nurse Practitioner | 3785 E Stampede Dr, Gilbert, AZ 85297-8203 | 2019-04-24 |
| 1164996864 | Amanda Marie Smith | Student in an Organized Health Care Education/Training Program | 527 12th Ave E Apt 203, Seattle, WA 98102-5114 | 2019-01-15 |
| 1245701796 | Amanda Michelle Smith | Dietitian, Registered | 20 Columbia Pl Apt B045, Brooklyn, NY 11201-4591 | 2018-12-10 |
| Street Address |
401 PILGRIM LN SUITE 103 |
| City | DREXEL HILL |
| State | PA |
| Zip Code | 19026-5000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275660656 | Main Line Hospitals, Inc. | Clinic/Center | 401 Pilgrim Ln, Suite 100, Drexel Hill, PA 19026-5000 | 2007-02-27 |
| 1841679362 | Margaret Batt | Counselor | 401 Pilgrim Ln, Drexel Hill, PA 19026-5000 | 2015-05-29 |
| 1730576802 | Wendy D. Rasnick | Counselor | 401 Pilgrim Ln, Drexel Hill, PA 19026-5000 | 2015-04-16 |
| 1245624535 | Deborah Jackson | Counselor | 401 Pilgrim Ln, Drexel Hill, PA 19026-5000 | 2015-03-24 |
| 1740616812 | Michael T. Coppens | Social Worker | 401 Pilgrim Ln, Suite 100, Drexel Hill, PA 19026-5000 | 2013-09-20 |
| 1851636591 | Main Line Health | General Acute Care Hospital | 401 Pilgrim Ln, Suite 103, Drexel Hill, PA 19026-5000 | 2012-12-06 |
| 1528355013 | Lindsay C Wick | Counselor | 401 Pilgrim Ln, Drexel Hill, PA 19026-5000 | 2011-07-05 |
| 1487829412 | Lucy Fatibene | Counselor | 401 Pilgrim Ln, Suite 103, Drexel Hill, PA 19026-5000 | 2008-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710541834 | Bridge To Better Home Health Care | In Home Supportive Care | 71 Drexelbrook Drive, Apartment 4, Drexel Hill, PA 19026 | 2019-04-24 |
| 1477918340 | Omo Passionate Home Healthcare, LLC | Home Health | 1206 Ormond Ave, Drexel Hill, PA 19026 | 2015-12-21 |
| 1477923753 | Gail White | Counselor | 3835 Berkley Ave, Drexel Hill, PA 19026 | 2015-09-30 |
| 1770991481 | Jodi Paisner | Counselor | 5060 State Road, 2nd Floor, Drexel Hill, PA 19026 | 2014-07-25 |
| 1477977247 | Cara M. Dyson-o'connor | Counselor | 401 Pilgrim Lane, Ste 103, Drexel Hill, PA 19026 | 2014-02-13 |
| 1790037810 | Careone Ambulance, LLC | Ambulance | 5201 Bella Vista Rd, Drexel Hill, PA 19026 | 2012-10-12 |
| 1144505785 | Sunny Home Care Agency | Home Health | 370 Lakeview Avenue, Drexel Hill, PA 19026 | 2011-10-14 |
| 1568746204 | Susan Christine Harrsch | Nurse Practitioner | 501 N. Landsdowne Ave, Maternity, Drexel Hill, PA 19026 | 2011-09-29 |
| 1215215652 | Anthony Jason Monteiro | Dentist | 5030 State Road #2-700, Drexel Hill, PA 19026 | 2011-08-03 |
| 1063700938 | Shameka Maria Sparrow | Counselor | Psych Choices of The Delaware Valley, 5060 State Rd, Drexel Hill, PA 19026 | 2011-07-13 |
| Find all providers in zip 19026 | ||||
| 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 |
|---|---|---|---|---|
| 1104452069 | Sarah Youse | Social Worker | 914 Anderson Ave, Drexel Hill, PA 19026-4408 | 2020-03-22 |
| 1255870721 | Laurie A Patterson LLC | Social Worker | 717 Concord Ave, Drexel Hill, PA 19026-2401 | 2017-02-16 |
| 1053705343 | Desiree Hatton | Social Worker | 19-11 Valley Rd, Drexel Hill, PA 19026-5400 | 2015-03-24 |
| 1528399789 | Ralph William Eckardt | Social Worker | 313 Shadeland Ave, Drexel Hill, PA 19026-2226 | 2010-01-27 |
| 1588994263 | Kenneth Meehan | Social Worker | 1009 Shadeland Ave, Drexel Hill, PA 19026-1912 | 2010-01-03 |
| 1184864456 | Erika Sarno | Social Worker | 3765 Highland Ave, Drexel Hill, PA 19026-3102 | 2009-02-26 |
| 1811192453 | Sylvia Elaine Alvarez | Social Worker | 33 Treaty Road, Drexel Hill, PA 19026 | 2007-06-15 |
| 1689157380 | Danielle Bills | Social Worker | 5060 State Rd Fl 2, Drexel Hill, PA 19026-4609 | 2018-09-10 |
| 1386163038 | Briana Stairiker | Social Worker | 2100 Keystone Ave, Drexel Hill, PA 19026-1129 | 2017-09-13 |
| 1740616812 | Michael T. Coppens | Social Worker | 401 Pilgrim Ln, Suite 100, Drexel Hill, PA 19026-5000 | 2013-09-20 |
| Find all providers in DREXEL HILL | ||||
| City | DREXEL HILL |
| Zip Code | 19026 |
Please comment or provide details below to improve the information on MRS. AMANDA SMITH.
| 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.