Individual provider Active NPI

Amanda Ziad Amundson, MSW

  • Clinical Social Worker
  • Punxsutawney, PA
National Provider Identifier
1558740191
Registry record updated Nov 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
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

Updated by the provider on Nov 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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.

Verify at the official NPI Registry.