Grothouse, Amanda

Grothouse, Amanda is an individual health care provider with primary practice located at 315 S 3Rd St , Boonville IN 47601-1723. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Grothouse, Amanda can be contacted via phone (812) 897-4776.

Contact Information

Primary practice address
315 S 3Rd St Boonville IN 47601-1723
Phone: (812) 897-4776
Fax: (812) 422-7558
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 34007179A Indiana

Profile Details

NPI number 1235570904
LBN Legal business name Grothouse, Amanda
Credentials MSW LCSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2013
Last updated Oct 9th, 2015 - about 10 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 1235570904 NPPES
Indiana Other 839090013 MEDICARE
Indiana MEDICAID 100240880 MEDICARE
Indiana Other 13509497 MEDICARE
Indiana Other 000000934722 MEDICARE

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