Individual provider Active NPI

Amanda Claire Eberbach

  • Clinical Social Worker
  • Midland, MI
National Provider Identifier
1346755642
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801114889 Issued in MI
Practice address
214 W Wackerly St Ste 200
Midland, MI 48640-2795
Phone
(989) 272-3812
NPI assigned
Dec 8, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801114889 MI
Social Worker 104100000X
Clinical Social Worker 1041C0700X 6801114889 MI Primary
Social Worker 104100000X 6801102102 MI

Addresses

Primary practice location

214 W Wackerly St Ste 200
Midland, MI 48640-2795

Mailing address

214 W Wackerly St Ste 200
Midland, MI 48640-2795

Other practice location 1

720 W Wackerly St Ste 11
Midland, MI 48640-2769
Phone (989) 832-2165

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220627002849 MI Practitioner - Clinical Social Worker 6406235191 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellrooted Counseling LLCGroup PAC ID 7719418102, 5 clinicians

Practice addresses (Care Compare)

214 W Wackerly St
Midland, MI 48640-2795
Phone (989) 272-3812

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801102102MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Partners in Change: Psychological & Community Services, PLC CurrentSince Jun 23, 2022 Accepting new patients
Wellrooted Counseling LLC CurrentSince Aug 1, 2025 Accepting new patients

Locations

214 W Wackerly St
Ste 200
Midland, MI 48640
Phone (989) 272-3812

720 W Wackerly St
Ste 11
Midland, MI 48640
Phone (989) 832-2165

214 W Wackerly St
Midland, MI 48640
Phone (989) 272-3812

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1512691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1346755642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 W WACKERLY ST STE 200",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486402795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 W WACKERLY ST STE 200",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486402795",
            "telephone_number": "989-272-3812"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "720 W Wackerly St Ste 11",
            "address_purpose": "LOCATION",
            "city": "Midland",
            "state": "MI",
            "postal_code": "486402769",
            "country_code": "US",
            "telephone_number": "989-832-2165",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EBERBACH",
        "first_name": "AMANDA",
        "middle_name": "CLAIRE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-08",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801114889",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801114889",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801102102",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, MI

Sources for this page

Verify at the official NPI Registry.