Amanda Leigh Addiego, LCSW
Individual provider Active NPI Clinical Social Worker · Oak Park, IL
NPI 1114635281 · NPPES record last updated Jun 2, 2025
Key facts
- NPI
- 1114635281
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Practice address
- 137 N Oak Park Ave Ste 329
Oak Park, IL 60301-1375 - Phone
- (773) 997-1036
- NPI assigned
- Nov 8, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| D a Blodgett-St Johns | Clinical | Current |
Accepting new patients |
| D.a. Blodgett - St. John'S | Past |
Accepting new patients |
Locations
805 Leonard St NE
Grand Rapids, MI 49503
Phone (616) 451-2021
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Yes |
Addresses
Primary practice location
137 N Oak Park Ave Ste 329
Oak Park, IL 60301-1375
Mailing address
137 N Oak Park Ave Ste 329
Oak Park, IL 60301-1375
Other practice location 1
805 Leonard St NE
Grand Rapids, MI 49503-1138
Phone (616) 451-2021
Other providers in Oak Park, IL
- Melvin Anthony Sebuc Adalin
- Brittany Adams Yee
- Jason R Adams
- Shanaka K. Adams
- Thomas Richard Adams
- Maria Carmela Adducci
- Erin M. Ader
- Pratibha Adhikari
- Precious Pokua Adusei
- Advanced Eyecare Group PC
All providers in Oak Park, IL · Clinical Social Worker in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 2, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.