Individual
AMANDA MAY SEVCIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LISW
Contact information
Practice address
859 N MAIN ST, MALTA, OH 43758-9007
(740) 962-6111
(740) 962-2182
Mailing address
859 N MAIN ST, MALTA, OH 43758-9007
(740) 962-6111
(740) 962-2182
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
S1100899
OH
1041C0700X
Clinical Social Worker
Primary
I.1303530
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0247505
—
OH
Enumeration date
11/23/2011
Last updated
03/12/2020
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