IndividualActive
Amanda Banta, LICSW
NPI 1942065909 · Clinical Social Worker · Northport, AL
Provider details
- NPI number
- 1942065909
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- No
- License
- 5110C-S (AL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
517 Energy Center Blvd Ste 1302
Northport, AL 35473-5810
Phone: (205) 553-9171
Fax: (334) 218-5815
Approximate (ZIP-level) locationGet directions
Mailing address
517 Energy Center Blvd Ste 1302
Northport, AL 35473-5810
Registry dates
- Enumerated
- 2024-02-19
- Last updated
- 2024-03-11
- Certified
- 2024-03-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.