# AMANDA L KISEL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1194412569
- **Gender:** F
- **Credential:** MS, LBS, LSW

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 104100000X | Social Worker | SW141253 | PA | Yes |
| 251S00000X | Community/Behavioral Health Agency | BH005106 | PA | — |

## Other

- **Enumeration date:** 04/18/2023
- **Last updated:** 03/01/2024
