Active NPI
Amanda Ziad Amundson, MSW
- Clinical Social Worker
- Punxsutawney, PA
National Provider Identifier
1558740191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 220 Scotland Ave
Punxsutawney, PA 15767-1653 - Phone
- (205) 657-7004
- NPI assigned
- May 28, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary | ||
| Counselor | 101Y00000X |
Addresses
Primary practice location
220 Scotland Ave
Punxsutawney, PA 15767-1653
Mailing address
220 Scotland Ave
Punxsutawney, PA 15767-1653
Phone (205) 657-7004
Other practice location 1
793 Old Route 119 Hwy N
Indiana, PA 15701-1372
Phone (724) 465-5576
Other names 1
- Amanda Ziad Abawi
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700179200000",
"number": "1558740191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 SCOTLAND AVE",
"city": "PUNXSUTAWNEY",
"state": "PA",
"postal_code": "157671653",
"telephone_number": "205-657-7004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 SCOTLAND AVE",
"city": "PUNXSUTAWNEY",
"state": "PA",
"postal_code": "157671653",
"telephone_number": "205-657-7004"
}
],
"practiceLocations": [
{
"address_1": "793 Old Route 119 Hwy N",
"address_purpose": "LOCATION",
"city": "Indiana",
"state": "PA",
"postal_code": "157011372",
"country_code": "US",
"telephone_number": "724-465-5576",
"fax_number": "724-465-6379",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AMUNDSON",
"first_name": "AMANDA",
"middle_name": "ZIAD",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-28",
"last_updated": "2023-11-17",
"certification_date": "2023-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMANDA",
"last_name": "ABAWI",
"middle_name": "ZIAD",
"credential": "LCSW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Punxsutawney, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.