IndividualActive
Amanda Smith, LCSW
NPI 1467902791 · Clinical Social Worker · Anna, IL
Provider details
- NPI number
- 1467902791
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- License
- 149014680 (IL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
204 South St
Anna, IL 62906-1549
Phone: (618) 833-8551
Fax: (618) 833-2911
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 548
Anna, IL 62906-0548
Registry dates
- Enumerated
- 2016-10-11
- Last updated
- 2016-10-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.