Individual provider · Type 1 NPI

Amanda Phannadeth

Clinical Social Worker · Greenwood Village, CO

NPI number 1902697766 Active

Practice location

6535 S Dayton St Ste 2900
Greenwood Village, CO 80111-6135

Mailing address

10350 Dover St Apt H26
Westminster, CO 80021-5506

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XCSW.09931719 (CO)

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 1902697766

Amanda Phannadeth's National Provider Identifier is 1902697766, issued on May 13, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Greenwood Village, CO. The record was last updated on May 13, 2025.