Amanda Willis
NPI 1114586617 · Clinical Social Worker · Newark, OH
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Amanda Willis is a Clinical Social Worker provider in Newark, OH (NPI 1114586617).
Provider details
- NPI number
- 1114586617
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- S.1904521 (OH)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 5665 Hoover RdGrove City, OH 43123-9122Phone: (614) 875-2371
- 15 N 3rd St Ste 300Newark, OH 43055-5550Phone: (740) 349-7511
Registry dates
- Enumerated
- 2019-06-07
- Last updated
- 2023-04-07
- Certified
- 2023-04-07
Frequently asked questions
- What is Amanda Willis's NPI number?
- Amanda Willis's National Provider Identifier (NPI) is 1114586617, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Amanda Willis's specialty?
- Amanda Willis is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Amanda Willis located?
- Amanda Willis's practice location on file with NPPES is 59 Grant St, Newark, OH 43055-3939.
- What is Amanda Willis's phone number?
- The practice phone number listed in the NPPES registry for Amanda Willis is (740) 349-7511.
- Does Amanda Willis accept Medicare?
- Amanda Willis is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Amanda Willis's NPI active?
- Yes — Amanda Willis's NPI (1114586617) is active in the NPPES registry as of the last update on 2023-04-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.