Individual provider Active NPI

Amanda Lynn Nowman, MSW, LSW

  • Social Worker
  • Piqua, OH
National Provider Identifier
1669014015
Registry record updated May 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
S.1904417 Issued in OH
Practice address
1830 W High St
Piqua, OH 45356-9399
Phone
(513) 834-7063
Fax
(513) 873-1567
NPI assigned
Oct 16, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X S.1904417 OH Primary

Addresses

Primary practice location

1830 W High St
Piqua, OH 45356-9399

Mailing address

615 Elsinore PL Ste 200
Cincinnati, OH 45202-1459
Phone (513) 834-7063

Other practice location 1

600 Wayne Ave
Dayton, OH 45410-1122
Phone (937) 496-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S.1904417OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Psycho Social Therapies,LTD CurrentSince Jan 26, 2023 Accepting new patients
Psycho Social Therapies,LTD CurrentSince Dec 10, 2023 Accepting new patients

Locations

23715 Mercantile Rd
Ste A203
Beachwood, OH 44122
Phone (216) 292-2880

23366 Commerce Park
Ste 100B
Beachwood, OH 44122
Phone (216) 292-2880

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": "1571184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590451200000",
    "number": "1669014015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 ELSINORE PL STE 200",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452021459",
            "telephone_number": "513-834-7063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 W HIGH ST",
            "city": "PIQUA",
            "state": "OH",
            "postal_code": "453569399",
            "telephone_number": "513-834-7063",
            "fax_number": "513-873-1567"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Wayne Ave",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454101122",
            "country_code": "US",
            "telephone_number": "937-496-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOWMAN",
        "first_name": "AMANDA",
        "middle_name": "LYNN",
        "credential": "MSW, LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-16",
        "last_updated": "2020-05-26",
        "certification_date": "2020-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.1904417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Piqua, OH

Sources for this page

Verify at the official NPI Registry.