AMANDA ROSE WENTZ (NPI# 1629444229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629444229 |
| Entity Type | Individual |
| Full Name | AMANDA ROSE WENTZ |
| Practice Address |
175 Kimel Park Dr Ste 100 Winston Salem NC 27103 |
| Mailing Address |
Po Box 751803 Charlotte NC 28275-1803 |
| Practice Telephone | 3367183550 |
| Practice Fax Number | 3362776981 |
| Mailing Telephone | 3367183550 |
| Mailing Fax Number | 3362776981 |
| Enumeration Date | 2015-08-18 |
| Last Update Date | 2018-12-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | 33007056A | IN | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
C011440 | NC | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 610 Main St, Lafayette, IN 479011451 | 7654282201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659925980 | Amanda Lynn Wentz | Social Worker | 2727 Bryant St Ste 500, Denver, CO 80211-4153 | 2019-07-25 |
| 1245616408 | Amanda Wentz | Pharmacist | 1131 Spring Ln, Sanford, NC 27330-3461 | 2015-08-10 |
| Street Address |
175 KIMEL PARK DR STE 100 |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740220748 | Cheri Jeannette Evans | Social Worker | 175 Kimel Park Dr Ste 100, Winston Salem, NC 27103-6951 | 2006-06-07 |
| 1861033946 | Matthew Eric Millington | Physician Assistant | 175 Kimel Park Dr Ste 100, Winston Salem, NC 27103 | 2019-09-30 |
| 1932750833 | Alice I Barclay | Social Worker | 175 Kimel Park Dr Ste 100, Winston Salem, NC 27103-6951 | 2019-09-23 |
| 1144880279 | Alison Bridges Russo | Social Worker | 175 Kimel Park Dr Ste 100, Winston Salem, NC 27103-6951 | 2019-06-20 |
| 1508350349 | Forsyth Memorial Hospital Inc | Psychiatry & Neurology | 175 Kimel Park Dr Ste 100, Winston Salem, NC 27103-6951 | 2018-06-15 |
| 1336650332 | Samuel Mcginnis | Counselor | 175 Kimel Park Dr Ste 100, Winston Salem, NC 27103-6951 | 2017-10-17 |
| 1386915148 | Jodi Shaver Callahan | Counselor | 175 Kimel Park Dr Ste 100, Winston Salem, NC 27103-6951 | 2012-01-25 |
| 1013242338 | Mindy Paris France | Counselor | 175 Kimel Park Dr Ste 100, Winston Salem, NC 27103-6951 | 2009-10-04 |
| 1942485974 | Mari Allison Young | Counselor | 175 Kimel Park Dr Ste 100, Winston Salem, NC 27103-6951 | 2008-01-09 |
| 1336167576 | Millicent Johnson Shadden | Social Worker | 175 Kimel Park Dr Ste 100, Winston Salem, NC 27103-6951 | 2006-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124648126 | Kelly Anne Wales | Pharmacist | 3917-a Westpoint Boulevard, Winston-salem, NC 27103 | 2020-04-20 |
| 1386281533 | Elena Mcginty | Nurse Practitioner | 1225 Creekshire Way, Suite 270, Winston Salem, NC 27103 | 2019-12-06 |
| 1992359442 | Madeline Pryor | Pharmacist | 255 Charlois Drive, Winston Salem, NC 27103 | 2019-08-01 |
| 1215599584 | Palmetto Oxygen LLC | Durable Medical Equipment & Medical Supplies | 1100 S Stratford Road, Building B, Suite 420, Winston Salem, NC 27103 | 2019-07-07 |
| 1548734718 | Trivy Johnson | Specialist | 1384-b Westgate Center Dr., Winston Salem, NC 27103 | 2019-01-21 |
| 1447745047 | Novant Health Rehabilitation Hospital of Winston-salem, LLC | Rehabilitation Hospital | 2475 Hillcrest Center Circle, Winston Salem, NC 27103 | 2018-06-26 |
| 1346740206 | Joseph Miller | Physical Therapist | 1605 Westbrook Dr, Suite 103, Winston-salem, NC 27103 | 2018-02-17 |
| 1548779101 | Kristin Blow | Counselor | 3000 Bethesda Pl Ste 202, Winston Salem, NC 27103 | 2017-09-27 |
| 1891213443 | Alisha Dawn Wilson | Occupational Therapy Assistant | 2101 Homestead Hills Drive, Winston Salem, NC 27103 | 2017-09-05 |
| 1588186969 | Brandy Wilson | Social Worker | 153 Cameron Way Circle, Winston Salem, NC 27103 | 2017-07-07 |
| Find all providers in zip 27103 | ||||
| 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 |
|---|---|---|---|---|
| 1649884362 | Ranesha Denae Boyd | Social Worker | 2270 Naomi Dr, Winston Salem, NC 27107-4602 | 2020-09-01 |
| 1326665563 | Kristy Dobbins | Social Worker | 3240 Trenchard Ln, Winston Salem, NC 27127-5927 | 2020-07-04 |
| 1033731781 | Robert D Worley | Social Worker | 480 Virginia Newell Ln, Winston Salem, NC 27101-4575 | 2020-05-15 |
| 1659900793 | Peaty Counseling and Consulting, Pllc | Social Worker | 1250 Foxhall Dr, Winston Salem, NC 27106-4436 | 2020-04-01 |
| 1407482862 | Jaime Wright | Social Worker | 3000 Bethesda Pl Ste 801, Winston Salem, NC 27103-3330 | 2020-03-18 |
| 1043778210 | Bernice Cook | Social Worker | 2223 Greenway Ave, Winston Salem, NC 27105-5120 | 2019-03-06 |
| 1285103812 | Kimberley Renee Hunt | Social Worker | 4711 Seminole Ct, Winston Salem, NC 27127-9432 | 2018-11-13 |
| 1619459864 | Shadae T Williams | Social Worker | 1224 Collegian Ter, Winston Salem, NC 27106-6340 | 2018-09-04 |
| 1104321017 | Melanie Carol Mccarthy | Social Worker | 1202 Miller St, Winston Salem, NC 27103-4445 | 2018-03-25 |
| 1417459371 | Awakenings Counseling | Social Worker | 770 Highland Oaks Dr # 100, Winston Salem, NC 27103-7105 | 2018-03-06 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27103 |
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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.