IndividualActive
Amanda Ellingwood, BSW, MSW, LSW, ICADD
NPI 1740532472 · Social Worker · Alexandria, IN
Provider details
- NPI number
- 1740532472
- Entity type
- Individual
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Credential
- BSW, MSW, LSW, ICADD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 0910018549 (IN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
4427 E 800 N
Alexandria, IN 46001-8750
Phone: (765) 748-8679
Approximate (ZIP-level) locationGet directions
Mailing address
4427 E 800 N
Alexandria, IN 46001-8750
Registry dates
- Enumerated
- 2012-10-04
- Last updated
- 2012-10-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.