| Amanda M. Keys, PhD, LCSW, LLC | |
|
4236 N Haven St Springfield MO 65803-9556 | |
| (417) 350-9009 | |
| Not Available |
| Full Name | Amanda M. Keys, PhD, LCSW, LLC |
|---|---|
| Speciality | Social Worker |
| Location | 4236 N Haven St, Springfield, Missouri |
| Authorized Official Name and Position | Amanda M Keys (OWNER) |
| Authorized Official Contact | 4176766103 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda M. Keys, PhD, LCSW, LLC 4236 N Haven St Springfield MO 65803-9556 Ph: (417) 350-9009 | Amanda M. Keys, PhD, LCSW, LLC 4236 N Haven St Springfield MO 65803-9556 Ph: (417) 350-9009 |
| NPI Number | 1518834456 |
|---|---|
| Provider Enumeration Date | 10/23/2025 |
| Last Update Date | 01/12/2026 |
| Certification Date | 01/12/2026 |
| Medicare PECOS PAC ID | 7517446412 |
|---|---|
| Medicare Enrollment ID | O20260211000403 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518834456 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | () | Primary |
| Provider Name | Amanda M Keys |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720209745 PECOS PAC ID: 2567817174 Enrollment ID: I20231017000312 |
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