White, Amanda

White, Amanda is an individual health care provider with primary practice located at 618 Cumberland St , Lebanon PA 17042-5232. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. White, Amanda can be contacted via phone (717) 274-2741.

Contact Information

Primary practice address
618 Cumberland St Lebanon PA 17042-5232
Phone: (717) 274-2741
Fax: (717) 274-5405
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X CW019539 Pennsylvania

Profile Details

NPI number 1306248364
LBN Legal business name White, Amanda
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2014
Last updated Jun 18th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306248364 NPPES
Pennsylvania MEDICAID 1034230400001

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