NPI 1447758693 · live from the CMS NPI Registry
Amanda Marie Anhalt, LCSW, CSAC
Social Worker, Clinical in Plymouth, WI. National Provider Identifier 1447758693, active.
NPI record
| NPI | 1447758693 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 2600 Kiley Way, Plymouth, WI 53073 |
| Practice phone | 920-459-1494 |
| Mailing address | Po Box 735044, Chicago, IL 60673 |
| Enumerated | January 23, 2018 |
| Last updated | January 19, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | 8860-123 (WI) |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | 16200-132 (WI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.