Individual provider Active NPI

Amanda Meyer, LISW

  • Clinical Social Worker
  • Sharonville, OH
National Provider Identifier
1861809659
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.1800847 Issued in OH
Practice address
4000 Executive Park Dr Ste 350
Sharonville, OH 45241-4046
Phone
(513) 400-4454
NPI assigned
Jul 14, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I.1800847 OH Primary

Addresses

Primary practice location

4000 Executive Park Dr Ste 350
Sharonville, OH 45241-4046

Mailing address

4000 Executive Park Dr Ste 350
Sharonville, OH 45241-4046
Phone (513) 400-4454

Other names 1

  • Amanda Freis Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20180531002147 OH Practitioner - Clinical Social Worker 1456634708 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cincinnati Therapy Works, LLC Clinical CurrentSince Mar 8, 2021 Accepting new patients
Mindfully, LLC Clinical CurrentSince May 1, 2018 Accepting new patients
Mindfully, LLC CurrentSince May 1, 2018 Accepting new patients

Locations

1251 Nilles Rd
Ste 5
Fairfield, OH 45014
Phone (732) 993-4599

4000 Executive Park Dr
Ste 350
Sharonville, OH 45241
Phone (513) 400-4454

4000 Executive Park Dr
Ste 100
Sharonville, OH 45241
Phone (513) 272-2744

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1405296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1861809659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 EXECUTIVE PARK DR STE 350",
            "city": "SHARONVILLE",
            "state": "OH",
            "postal_code": "452414046",
            "telephone_number": "513-400-4454",
            "fax_number": "513-978-0144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 EXECUTIVE PARK DR STE 350",
            "city": "SHARONVILLE",
            "state": "OH",
            "postal_code": "452414046",
            "telephone_number": "513-400-4454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "AMANDA",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-14",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1800847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "FREIS",
            "credential": "LISW-S",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sharonville, OH

Sources for this page

Verify at the official NPI Registry.