Amanda M Fraley, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.2405951 Issued in OH

Practice address

2267 Village Mall Dr
Ontario, OH 44906-1369

Phone

(419) 951-2020

NPI assigned

Oct 6, 2017

Last updated

Jan 15, 2025By the provider in NPPES

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

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 May 29, 2025 through May 29, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hope419, LLC

  dba Hope419

  • Psychiatry Physician
  • Ontario, OH
  • NPI 1184375628
  NPD (past)
• Hope419, LLC

  • Behavioral Neurology & Neuropsychiatry Physician
  • Ontario, OH
  • NPI 1750990438
  NPD (past)

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

{
    "created_epoch": "1507248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1891205647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2267 VILLAGE MALL DR",
            "city": "ONTARIO",
            "state": "OH",
            "postal_code": "449061369",
            "telephone_number": "419-951-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2267 VILLAGE MALL DR",
            "city": "ONTARIO",
            "state": "OH",
            "postal_code": "449061369",
            "telephone_number": "419-951-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRALEY",
        "first_name": "AMANDA",
        "middle_name": "M",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-06",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2405951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward Fitch, CDCA
• Patty Jean Fleming, CNP
• Tracy Alan Fleming, CNP
• Emily Forman, OD
• Carolyn Fowler
• Janelle Fraley, RD, LD
• Georgia Francis
• Hallie Elizabeth Fraser
• Galion Community Hospital (Ontario Physician Practices)
• Galion Community Hospital (Avita Ontario ASC)

• Clinical Social Worker in Ontario, OH
• Providers in Ontario, 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 Jan 15, 2025; 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.