Active NPI
Amanda Jo Adams, LISW-S
- Social Worker
- Granville, OH
National Provider Identifier
1003146564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- I. 0600081 SUPV
- Practice address
- 905 River Rd Ste a
Granville, OH 43023-9560 - Phone
- (740) 587-2822
- Fax
- (740) 587-2822
- NPI assigned
- Jan 6, 2010
- Last updated
- Jan 6, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | I. 0600081 SUPV | OH | Primary |
Addresses
Primary practice location
905 River Rd Ste a
Granville, OH 43023-9560
Mailing address
4419 Deeds Rd SW
Pataskala, OH 43062-7447
Phone (740) 404-1339
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I. 0600081 SUPV | OH | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Debbie E. Dickson Counseling, Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
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- NPI 1225189046
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262736000000",
"number": "1003146564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4419 DEEDS RD SW",
"city": "PATASKALA",
"state": "OH",
"postal_code": "430627447",
"telephone_number": "740-404-1339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "905 RIVER RD STE A",
"city": "GRANVILLE",
"state": "OH",
"postal_code": "430239560",
"telephone_number": "740-587-2822",
"fax_number": "740-587-2822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS",
"first_name": "AMANDA",
"middle_name": "JO",
"credential": "LISW-S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-06",
"last_updated": "2010-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "I. 0600081 SUPV",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Granville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.