NPI 1801005665 · live from the CMS NPI Registry
John H Amendt, M.S.W.
Social Worker, Clinical in Glen Ellyn, IL. National Provider Identifier 1801005665, active.
NPI record
| NPI | 1801005665 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 346 Taft Ave, Suite 030, Glen Ellyn, IL 60137 |
| Practice phone | 630-690-3170 |
| Mailing address | 1937 Brentwood Ln E, Wheaton, IL 60189 |
| Enumerated | May 21, 2007 |
| Last updated | February 6, 2012 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | 149.001914 (IL) |
| Marriage & Family Therapist | 106H00000X | 166.000240 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.