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

AMANDA RENEE ELLINGWOOD, BSW, MSW, LSW, ICADD

Active Sole Proprietor

AMANDA RENEE ELLINGWOOD, BSW, MSW, LSW, ICADD is a Social Worker healthcare provider located in ALEXANDRIA, Indiana. NPI 1740532472 is currently active in the NPPES registry. Verify at CMS.

Social Worker · ALEXANDRIA, IN

Registration Details

NPI Number
1740532472
Provider Type
Individual
Gender
Female
NPI Issued
Oct 4, 2012 (13.865693005252 yrs)
Last Updated
Oct 4, 2012
License
0910018549 (IN)
Sole Proprietor
Yes

Practice Information

Address
4427 E 800 N
ALEXANDRIA, IN, 460018750
Browse IN providers · Browse ZIP 46001
Phone
7657488679
Primary Specialty
Social Worker
104100000X
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.