AMANDA MARIE BROCK (NPI# 1679782338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679782338 |
| Entity Type | Individual |
| Full Name | AMANDA MARIE BROCK |
| Credential | LCSW, LCAC |
| Practice Address |
2530 Sandcrest Blvd Columbus IN 47203-3047 |
| Practice Telephone | 8123723177 |
| Practice Fax Number | 8123723692 |
| Mailing Telephone | 8123723177 |
| Mailing Fax Number | 8123723692 |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2013-04-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
87001472A | IN | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
34006170A | IN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093143844 | Amanda L Brock | Nurse Practitioner | 110 Dublin Dr Ste A, Dover, OH 44622-7805 | 2013-10-14 |
| 1932713799 | Amanda Brock | Technician/Technologist | 32100 Telegraph Rd Ste 205, Bingham Farms, MI 48025-2454 | 2020-08-31 |
| 1013530278 | Amanda Lynn Brock | Registered Nurse | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2020-05-22 |
| 1649789454 | Amanda Haley Brock | Social Worker | 203 East St, Easthampton, MA 01027-1234 | 2017-09-25 |
| 1003288085 | Amanda Brock | Speech-Language Pathologist | 2601 Bransford Ave, Nashville, TN 37204-2811 | 2015-10-29 |
| 1114322005 | Amanda Brock | Behavioral Analyst | 3002 Lincoln Dr W, Marlton, NJ 08053-1527 | 2014-11-04 |
| 1336462712 | Amanda S. Brock | Nurse Practitioner | 1215 Sidney St, Suite 202, Batesville, AR 72501-7203 | 2010-03-12 |
| 1013165786 | Amanda Dee Brock | Registered Nurse | 350 Langdon St, Somerset, KY 42503-2786 | 2008-09-05 |
| Street Address |
2530 SANDCREST BLVD |
| City | COLUMBUS |
| State | IN |
| Zip Code | 47203-3047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194831271 | Dawn Renae Goodman-martin | Counselor | 2530 Sandcrest Blvd, Columbus, IN 47203-3047 | 2006-08-22 |
| 1548593130 | Emory Mills | Social Worker | 2530 Sandcrest Blvd, Columbus, IN 47203-3047 | 2009-09-14 |
| 1225277122 | Frances W Taylor | Counselor | 2530 Sandcrest Blvd, Columbus, IN 47203-3047 | 2009-02-17 |
| 1740453554 | Eugenia Gail Lacey-gengelbach | Social Worker | 2530 Sandcrest Blvd, Columbus, IN 47201 | 2008-04-12 |
| 1104040765 | Theodore M Sharpe | Psychologist | 2530 Sandcrest Blvd, Columbus, IN 47203-3047 | 2007-04-12 |
| 1851450001 | Dianne Farrar | Social Worker | 2530 Sandcrest Blvd, Columbus, IN 47203-3047 | 2006-12-06 |
| 1538237714 | Lori A Fowler | Social Worker | 2530 Sandcrest Blvd, Columbus, IN 47203-3047 | 2006-12-04 |
| 1528136652 | Kimberlee Sue Moorer | Counselor | 2530 Sandcrest Blvd, Columbus, IN 47203-3047 | 2006-11-30 |
| 1316013881 | Association of Personal and Family Counselors | Counselor | 2530 Sandcrest Blvd, Columbus, IN 47203-3047 | 2006-11-28 |
| 1265503452 | Lucinda Ann David | Social Worker | 2530 Sandcrest Blvd, Columbus, IN 47203-3047 | 2006-11-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649767955 | Sean Meador | Pharmacist | 3630 31st Street, Columbus, IN 47203 | 2018-04-23 |
| 1013319367 | Sandra Smith | Nurse Practitioner | 2329 North Marr Road, Wow Clinic, Columbus, IN 47203 | 2014-09-18 |
| 1174939680 | Hana Hoffman | Occupational Therapist | 2625 Foxpointe Dr., Suite A, Columbus, IN 47203 | 2014-07-03 |
| 1801219209 | Michelle Ann Ballard | Alzheimer Center (Dementia Center) | 2564 Foxpointe Drive, Keepsake Village, Columbus, IN 47203 | 2014-01-22 |
| 1639454606 | Jaime Denise Miller | Physical Therapist | 2625 Foxpointe Dr. 3a, Columbus, IN 47203 | 2011-10-20 |
| 1538443155 | Jessica Paige Laymon | Social Worker | 1680 Whitney Court, Columbus, IN 47203 | 2011-09-30 |
| 1720375124 | Hannah C Burke | Physical Therapist | 2625 Foxpointe Dr, Columbus, IN 47203 | 2011-07-06 |
| 1033419437 | Patricia J. Lisinski | Physician Assistant | 2510 Sandcrest Drive, Columbus, IN 47203 | 2010-11-01 |
| 1245495175 | David Brent Gadberry | Registered Nurse | 2122 Sumpter Trl, Columbus, IN 47203 | 2008-07-21 |
| 1710003231 | Ellen H Rudolph | Dentist | 3200 Sycamore Ct. Suite 1-c, Columbus, IN 47203 | 2007-03-22 |
| Find all providers in zip 47203 | ||||
| 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 |
|---|---|---|---|---|
| 1336748268 | Megan Ferguson | Social Worker | 2516 Gardenia Dr, Columbus, OH 43235-5515 | 2020-10-21 |
| 1427664861 | Kelly Hellmuth | Social Worker | 49 W Henderson Rd, Columbus, OH 43214-2627 | 2020-09-21 |
| 1891308714 | Kassandra Hill | Social Worker | 8400 Veterans Pkwy Apt 1317, Columbus, GA 31909-2466 | 2020-08-29 |
| 1487265856 | Pamela Reid Seldon | Social Worker | 6242 Mill Branch Rd, Columbus, GA 31907-4430 | 2020-08-11 |
| 1205445145 | Mallorie E Davis | Social Worker | 1350 W 5th Ave Ste 112, Columbus, OH 43212-2907 | 2020-07-27 |
| 1245854223 | Jennifer Dirr | Social Worker | 3770 Tanager Dr, Columbus, OH 43230-1181 | 2020-06-04 |
| 1104446400 | Jared Bollenbacher | Social Worker | 467 Wilson Ave, Columbus, OH 43205-1944 | 2020-04-16 |
| 1093344681 | Nathanael William Russell | Social Worker | 9770 Big Hand Rd, Columbus, MI 48063-2913 | 2020-04-06 |
| 1194350488 | Sara Warren | Social Worker | 2664 Cranford Rd, Columbus, OH 43221-1108 | 2020-03-06 |
| 1285266445 | Mantra Mental Health, LLC | Social Worker | 3630 N High St Ste 203, Columbus, OH 43214-3652 | 2020-02-06 |
| Find all providers in COLUMBUS | ||||
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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.