Amanda Mallory Slough, LISW-S, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.2203594-SUPV Issued in OH

Practice address

228 S Main St
Bryan, OH 43506-1755

Phone

(567) 239-4562

Fax

(419) 225-8878

NPI assigned

May 25, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Amanda Mallory Patrick Former name

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Clinical Social Worker

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Health Partners of Western OhioGroup PAC ID 9436139987, 56 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Health Partners of Western Ohio

  • Federally Qualified Health Center (FQHC)
  • Toledo, OH
  • NPI 1760952741
  Medicare reassignment Care Compare group NPD
• Health Partners of Western Ohio

  • Federally Qualified Health Center (FQHC)
  • Holland, OH
  • NPI 1396605481
  NPD
• Health Partners of Western Ohio

  • Federally Qualified Health Center (FQHC)
  • Bryan, OH
  • NPI 1790020733
  NPD

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

{
    "created_epoch": "1527206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773878400000",
    "number": "1437640323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 N WEST ST",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458014332",
            "telephone_number": "419-221-3072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 S MAIN ST",
            "city": "BRYAN",
            "state": "OH",
            "postal_code": "435061755",
            "telephone_number": "567-239-4562",
            "fax_number": "419-225-8878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLOUGH",
        "first_name": "AMANDA",
        "middle_name": "MALLORY",
        "credential": "LISW-S, MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-25",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2203594-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "PATRICK",
            "middle_name": "MALLORY",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amanda Marie Shuherk-Wieland
• Meghan Ann Simpson, CDCA
• Stephanie Sines, APRN, CNP
• Alexis Sinn
• Marcia Jean Slabaugh, PTA
• Stacy L Snyder
• Jennifer Spangler, LMT
• Jordan Spiess, OD
• Shannon Sprague, LMT
• Square North Practice

• Clinical Social Worker in Bryan, OH
• Providers in Bryan, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.