IndividualActive
Amanda Gryzmala, LCSW
NPI 1871152660 · Clinical Social Worker · Fort Campbell, KY
Provider details
- NPI number
- 1871152660
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
Practice location
650 Joel Dr
Fort Campbell, KY 42223-5318
Phone: (270) 798-8727
Approximate (ZIP-level) locationGet directions
Mailing address
650 Joel Dr
Fort Campbell, KY 42223-5318
Registry dates
- Enumerated
- 2019-06-06
- Last updated
- 2024-10-01
- Certified
- 2024-10-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.