Mrs Amanda Perkins, LISW-S, LICDC is a
Social Worker - Clinical based in Leesburg, Ohio. Mrs Amanda Perkins is licensed to practice in Ohio (license number I.1700528) and her current practice location is
11611 State Route 771, Leesburg, Ohio. She can be reached at her office (for appointments etc.) via phone at
(937) 780-2221.
NPI number for Mrs Amanda Perkins is 1588182547 and her current mailing address is 11611 State Route 771, Leesburg, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1588182547.
Healthcare Provider's Profile
| Full Name | Mrs Amanda Perkins |
|---|
| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 11611 State Route 771, Leesburg, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1588182547
- Provider Enumeration Date: 08/30/2017
- Last Update Date: 08/18/2021
Medical Identifiers
Medical identifiers for Mrs Amanda Perkins such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1588182547 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LICDC.161958 (Ohio) | Secondary |
| 1041C0700X | Social Worker - Clinical | I.1700528 (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Amanda Perkins is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Amanda Perkins, LISW-S, LICDC
11611 State Route 771,
Leesburg, OH 45135-8601
Ph: (937) 780-2221 | Mrs Amanda Perkins, LISW-S, LICDC
11611 State Route 771,
Leesburg, OH 45135-8601
Ph: (937) 780-2221 |
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