IndividualActive
Amanda Goodblood, LCSW
NPI 1730132184 · Clinical Social Worker · Wyoming, MI
Provider details
- NPI number
- 1730132184
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- License
- 149.010544 (IL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
5838 Metro Way Sw
Wyoming, MI 49519-9619
Phone: (269) 832-8266
Approximate (ZIP-level) locationGet directions
Mailing address
5838 Metro Way Sw
Wyoming, MI 49519-9619
Additional practice locations (1)
- 5th and RooseveltHines, IL 60141Phone: (708) 202-2795
Registry dates
- Enumerated
- 2006-05-18
- Last updated
- 2021-07-07
- Certified
- 2021-07-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.