Amanda D Bishop, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

711 Scholl Rd
Mansfield, OH 44907-1571

Phone

(419) 526-6102

NPI assigned

Jan 21, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Center for Individual & Family Services, Inc.

  • Community/Behavioral Health Agency
  • Mansfield, OH
  • NPI 1174122188
  NPD (past)
• The Center for Individual & Family Services, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Mansfield, OH
  • NPI 1568722171
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1611187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683849600000",
    "number": "1033709233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "741 SCHOLL RD",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449071571",
            "telephone_number": "419-756-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 SCHOLL RD",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449071571",
            "telephone_number": "419-526-6102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISHOP",
        "first_name": "AMANDA",
        "middle_name": "D",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-21",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LSW LICENSE",
            "identifier": "S.2309061",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marcia Marie Biglin, PTA
• Jason Ryan Bilyj, PHARM.D. R.PH
• Bio-Medical Applications of Ohio, Inc.
• Bio-Medical Applications of Ohio, Inc.
• Ashley Bisel
• Cheryl Lynn Bishop, LPN
• Hannah D Bishop
• Chet M Blackburn, P.T.
• Molly R. Blackford
• Frankie Blackshire

• Social Worker in Mansfield, OH
• Providers in Mansfield, OH by specialty
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.