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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

AMANDA R BRETTILLO

Active Sole Proprietor

AMANDA R BRETTILLO is a Clinical Social Worker healthcare provider located in FAIRVIEW, North Carolina. NPI 1407577968 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · FAIRVIEW, NC

Registration Details

NPI Number
1407577968
Provider Type
Individual
Gender
Female
NPI Issued
Sep 2, 2022 (3.8029256328737 yrs)
Last Updated
Apr 8, 2025
Licenses
LCAS-30634 (NC)
2022-9757-01 (NC)
P021851 (NC)
Sole Proprietor
Yes

Practice Information

Address
76 JOHNNY MARLOW RD
FAIRVIEW, NC, 287309641
Browse NC providers · Browse ZIP 28730
Phone
8285517571
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Peer Specialist
Additional Specialty
Private Vehicle
Additional Specialty
Clinical Social Worker

Other Clinical Social Worker Providers in FAIRVIEW, NC

Name Credential NPI
MS. MARILYN M GRAHAM 1376779678
MRS. ANNA SHUMOLIS CONN LCSWA 1750704318
TAMARA ANN STABOSZ LCSW 1760021513
LISA ANNE COLE LCSW 1568170728
LILLI RANDALL SKEETERS 1043062482
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.