Active NPI
Amanda Lewellen, MSW, LCSW
- Clinical Social Worker
- Greencastle, IN
National Provider Identifier
1730132317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34005429A
- Practice address
- 308 Medic Way
Greencastle, IN 46135-2296 - Phone
- (765) 653-2669
- NPI assigned
- May 18, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 34005429A | IN | Primary |
Addresses
Primary practice location
308 Medic Way
Greencastle, IN 46135-2296
Mailing address
12269 State Highway 243
Cloverdale, IN 46120-8019
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000552508 | Other | IN | ANTHEM BCBS |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34005429A | IN | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208131200000",
"number": "1730132317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12269 STATE HIGHWAY 243",
"city": "CLOVERDALE",
"state": "IN",
"postal_code": "461208019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "308 MEDIC WAY",
"city": "GREENCASTLE",
"state": "IN",
"postal_code": "461352296",
"telephone_number": "765-653-2669"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWELLEN",
"first_name": "AMANDA",
"credential": "MSW, LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-18",
"last_updated": "2008-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34005429A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "000000552508",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greencastle, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.