IndividualActive
Amanda Powell, LCSW
NPI 1962086744 · Clinical Social Worker · St Augustine, IL
Provider details
- NPI number
- 1962086744
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- 149.023038 (IL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
34 N Main St
St Augustine, IL 61474-9800
Phone: (309) 351-8584
Approximate (ZIP-level) locationGet directions
Mailing address
43 Cooper St
St Augustine, IL 61474
Additional practice locations (1)
- 43 Cooper StreetSaint Augustine, IL 61474-0113Phone: (309) 333-0293
Registry dates
- Enumerated
- 2021-05-08
- Last updated
- 2024-10-14
- Certified
- 2024-10-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.