Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. AMANDA RENEE SOUTHERN, LMSW
Active Sole ProprietorMRS. AMANDA RENEE SOUTHERN, LMSW is a Clinical Social Worker healthcare provider located in OTISVILLE, Michigan. NPI 1982945549 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · OTISVILLE, MI
Registration Details
- NPI Number
- 1982945549
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 7, 2013 (13.415647188466 yrs)
- Last Updated
- May 17, 2022
- License
-
6801094249 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
275 S STATE RDOTISVILLE, MI, 484638436Browse MI providers · Browse ZIP 48463
- Phone
- 8109227700
- Primary Specialty
-
Clinical Social Worker
1041C0700X
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.