Amanda Petric, LISW-S

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.1800880-SUPV Issued in OH

Practice address

250 E 5TH St FL 15
Cincinnati, OH 45202-4119

Phone

(216) 200-8116

NPI assigned

Jun 17, 2015

Last updated

Jun 26, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Miss Amanda Peebels Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jul 1, 2025 through Jul 1, 2027

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1434499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782432000000",
    "number": "1760863419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 E 5TH ST FL 15",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452024119",
            "telephone_number": "216-200-8116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 E 5TH ST FL 15",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452024119",
            "telephone_number": "216-200-8116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRIC",
        "first_name": "AMANDA",
        "name_prefix": "Mrs.",
        "credential": "LISW-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-17",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1800880-SUPV",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSWMFT",
            "identifier": "I.1800880-SUPV",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "PEEBELS",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Petra Medicare Transportation LLC
• Vanessa Ann Petranek
• Jessica Sue Petre, MSW, LISW
• Haley Petrey, OTR/L
• Lisa Jayne Petrey, B.A,
• James D. Petricone, D.D.S.
• Artemis Petrides, MD
• Mary B Petrie, DDS
• Kristin Nicole Petrosky, P.T.
• Hannah Lee Pettibone, DO

• Clinical Social Worker in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.