Abernethy, Amanda R

Abernethy, Amanda R is an individual health care provider with primary practice located at 104 1/2 N Marietta St , Saint Clairsville OH 43950-1255. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Abernethy, Amanda R can be contacted via phone (740) 338-9110.

Contact Information

Primary practice address
104 1/2 N Marietta St Saint Clairsville OH 43950-1255
Phone: (740) 338-9110
Fax: (740) 695-6747
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X S.1201313 Ohio

Profile Details

NPI number 1457604068
LBN Legal business name Abernethy, Amanda R
Credentials MSW, LSW
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2012
Last updated May 11th, 2018 - about 6 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 1457604068 NPPES
Ohio MEDICAID 336705

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