Amanda R Brettillo, is a
Social Worker - Clinical based in Fairview, North Carolina. Amanda R Brettillo is licensed to practice in North Carolina (license number P021851) and her current practice location is
76 Johnny Marlow Rd, Fairview, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(828) 551-7571.
NPI number for Amanda R Brettillo is 1407577968 and her current mailing address is 76 Johnny Marlow Rd, Fairview, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1407577968.
Healthcare Provider's Profile
| Full Name | Amanda R Brettillo |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 76 Johnny Marlow Rd, Fairview, North Carolina |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1407577968
- Provider Enumeration Date: 09/02/2022
- Last Update Date: 04/08/2025
Medical Identifiers
Medical identifiers for Amanda R Brettillo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1407577968 | NPI | - | NPPES |
| M2024-9757-01 | Other | NC | NORTH CAROLINA PEER SUPPORT SPECIALIST |
| P021851 | Other | NC | LCSWA LICENSE |
| 40422193 | Medicaid | NC | |
| 2022-9757-01 | Other | NC | NC DIVISON OF MENTAL HEALTH,DEVELOPMETAL DISABILITIES AND SUBSTANCE ABUSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LCAS-30634 (North Carolina) | Secondary |
| 175T00000X | Peer Specialist | 2022-9757-01 (North Carolina) | Secondary |
| 347C00000X | Private Vehicle | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | P021851 (North Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amanda R Brettillo is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Amanda R Brettillo,
76 Johnny Marlow Rd,
Fairview, NC 28730-9641
Ph: (828) 551-7571 | Amanda R Brettillo,
76 Johnny Marlow Rd,
Fairview, NC 28730-9641
Ph: (828) 551-7571 |
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