Amanda Haney

Individual provider Active NPI Social Worker · Columbia City, IN

NPI 1891442877 · NPPES record last updated Mar 9, 2022

Key facts

NPI
1891442877
Entity type
Individual (NPI type 1)
Primary specialty
Social Worker 104100000X
License
33009452A (IN)
Practice address
119 W Market St
Columbia City, IN 46725-2311
Phone
(260) 248-8176
NPI assigned
Mar 9, 2022
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
33009452AINMDSocial Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 33009452A IN Yes

Addresses

Primary practice location

119 W Market St
Columbia City, IN 46725-2311

Mailing address

2621 E Jefferson St
Warsaw, IN 46580-3880
Phone (574) 267-7169

Other providers in Columbia City, IN

All providers in Columbia City, IN · Social Worker in Indiana

Sources for this page

Verify at the official NPI Registry.