Individual
AMANDA LEWELLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
308 MEDIC WAY, GREENCASTLE, IN 46135-2296
(765) 653-2669
Mailing address
12269 STATE HIGHWAY 243, CLOVERDALE, IN 46120-8019
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34005429A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000552508
ANTHEM BCBS
IN
Enumeration date
05/18/2006
Last updated
04/14/2008
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