Individual provider · Type 1 NPI

Amanda Kathryn Willis

Clinical Social Worker · Newark, OH

NPI number 1114586617 Active

Practice location

59 Grant St
Newark, OH 43055-3939

Other practice locations

  • 15 N 3rd St Ste 300, Newark, OH 43055-5550 · (740) 349-7511
  • 5665 Hoover Rd, Grove City, OH 43123-9122 · (614) 875-2371

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XS.1904521 (OH)
Clinical Social Worker Primary 1041C0700XI.2304393 (OH)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1114586617

Amanda Kathryn Willis's National Provider Identifier is 1114586617, issued on Jun 7, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Newark, OH. The record was last updated on Apr 7, 2023.