IndividualActive
Amanda Willis
NPI 1114586617 · Clinical Social Worker · Newark, OH
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)
Mailing address
59 Grant St
Newark, OH 43055-3939
Registry dates
- Enumerated
- 2019-06-07
- Last updated
- 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.