Active NPI
Amanda Beth Janulis, LCSW
- Clinical Social Worker
- Ambler, PA
National Provider Identifier
1699172130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 124779
- Practice address
- 32 Betsy LN
Ambler, PA 19002-5733 - Phone
- (215) 287-6690
- NPI assigned
- Nov 26, 2014
- Last updated
- Nov 27, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | CW014691 | PA | |
| Clinical Social Worker | 1041C0700X | 44SC06112700 | NJ | |
| Clinical Social Worker | 1041C0700X | 124779 | MA | Primary |
| Clinical Social Worker | 1041C0700X | C014817 | NC | |
| Clinical Social Worker | 1041C0700X | Q1-0012026 | DE | |
| Clinical Social Worker | 1041C0700X | CW014691 | PA |
Addresses
Primary practice location
32 Betsy LN
Ambler, PA 19002-5733
Mailing address
32 Betsy LN
Ambler, PA 19002-5733
Phone (215) 287-6690
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CW014691 | PA | MD | Counselor |
| Q1-0012026 | DE | MD | Clinical Social Worker |
| 124779 | MA | MD | Clinical Social Worker |
| C014817 | NC | MD | Clinical Social Worker |
| 44SC06112700 | NJ | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732665600000",
"number": "1699172130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32 BETSY LN",
"city": "AMBLER",
"state": "PA",
"postal_code": "190025733",
"telephone_number": "215-287-6690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32 BETSY LN",
"city": "AMBLER",
"state": "PA",
"postal_code": "190025733",
"telephone_number": "215-287-6690"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JANULIS",
"first_name": "AMANDA",
"middle_name": "BETH",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-11-26",
"last_updated": "2024-11-27",
"certification_date": "2024-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "PA",
"license": "CW014691",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC06112700",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "124779",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C014817",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "DE",
"license": "Q1-0012026",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW014691",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ambler, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.