Amanda Jill Zavodnick, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW015865 Issued in PA

Practice address

8815 Germantown Ave
5TH Floor
Philadelphia, PA 19118-2722

Phone

(215) 248-8145

Fax

(215) 248-8852

NPI assigned

Dec 11, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1260489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260489600000",
    "number": "1790014298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8815 GERMANTOWN AVE",
            "address_2": "5TH FLOOR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191182722",
            "telephone_number": "215-248-8145",
            "fax_number": "215-248-8852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8815 GERMANTOWN AVE",
            "address_2": "5TH FLOOR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191182722",
            "telephone_number": "215-248-8145",
            "fax_number": "215-248-8852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAVODNICK",
        "first_name": "AMANDA",
        "middle_name": "JILL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-11",
        "last_updated": "2009-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW015865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay E Zavislak
• Alexis Stephanie Zavitsanos
• Annie Zavitsanos, CRNP
• Thomas P. Zavitsanos, M.D.
• Alexis Marie Zavitsky, DO
• Jillian Hope Zavodnick, M.D.
• Steven Zavodnick, M.D.
• Athan George Zavras, BA
• Sarah Suu Myat Zaw
• Carolyn Leigh Zawislak, PA-C

• Clinical Social Worker in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2009; 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.