Amanda Pentzer, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I0500166 Issued in OH

Practice address

885 High St
Suite 106
Worthington, OH 43085-4158

Phone

(614) 882-9338

Fax

(614) 882-3401

NPI assigned

Aug 22, 2006

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": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291334400000",
    "number": "1912013772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 111",
            "city": "NEW ALBANY",
            "state": "OH",
            "postal_code": "430540111",
            "telephone_number": "614-885-2411",
            "fax_number": "614-885-2453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "885 HIGH ST",
            "address_2": "SUITE 106",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430854158",
            "telephone_number": "614-882-9338",
            "fax_number": "614-882-3401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENTZER",
        "first_name": "AMANDA",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-22",
        "last_updated": "2010-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I0500166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Robert Pedigo
• Kathryn Jane Pedro, P.C.C.
• Nancy J. Pelphrey, RN, LPCC
• Wendy Pendleton, LPC
• Monay Penn
• Cassady Dean Perdue
• Hailey Perese
• Brenda Ivet Perez, SLP
• Karly Perez
• Perfect Productions Home Health Care Services LLC

• Clinical Social Worker in Worthington, OH
• Providers in Worthington, 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 Dec 3, 2010; 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.