Amanda L Plant, LISW-S

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I1302149 Issued in OH

Practice address

14 Sandalwood Dr
Newark, OH 43055-9233

Phone

(740) 788-8850

Fax

(740) 788-8851

NPI assigned

Feb 5, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Amanda L Kruse Former name

Medicare fee-for-service enrollment

Enrolled in OH

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Village Network

  • Voluntary or Charitable Agency
  • Wooster, OH
  • NPI 1124057914
  Medicare reassignment NPD
• Village Network

  • Voluntary or Charitable Agency
  • Wooster, OH
  • NPI 1093103988
  NPD

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

{
    "created_epoch": "1360022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581897600000",
    "number": "1851630289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4670",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430584670",
            "telephone_number": "740-522-8477",
            "fax_number": "740-788-3424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 SANDALWOOD DR",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430559233",
            "telephone_number": "740-788-8850",
            "fax_number": "740-788-8851"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "65 Messimer Dr",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "OH",
            "postal_code": "430551874",
            "country_code": "US",
            "telephone_number": "740-522-8477",
            "fax_number": "740-788-3424",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PLANT",
        "first_name": "AMANDA",
        "middle_name": "L",
        "credential": "LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-05",
        "last_updated": "2020-02-17",
        "certification_date": "2020-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S1000827",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I1302149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "KRUSE",
            "middle_name": "L",
            "credential": "LSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Diana L Pierce, CDCA
• Amanda Piergiovanni
• Mary Helen Pipes, COTA/L
• Noah Lynx Pitt, PTA
• Jeffrey Pitts, PHARMD
• Mark E. Plaugher, CRNA
• Kristine Plotts, APRN
• Alana Poff
• Bernd Pollmann
• Carah McKenna-Brady Pollmann

• Clinical Social Worker in Newark, OH
• Providers in Newark, 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 Feb 17, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.