MEDICARE: AMANDA SHAY HERENDEEN LSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	33008027A	IN

General Provider Information

NPI Number	:	1629817192
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMANDA SHAY HERENDEEN LSW

Provider Business Mailing Address
First Line	:	PO BOX 751
Second Line	:
City	:	NORTH WEBSTER
State	:	IN
Zip	:	46555-0751
Country	:	US
Telephone Number	:	574-834-1393
Fax Number	:	833-527-8322

Provider Business Practice Location Address
First Line	:	501 W WASHINGTON ST
Second Line	:
City	:	NORTH WEBSTER
State	:	IN
Zip	:	46555-0751
Country	:	US
Telephone Number	:	574-834-1393
Fax Number	:	833-527-8322

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/23/2024
Last Update Date	:	05/23/2024

Similar Medicare Providers

1679955231 — TURNING POINT INC.
Practice Location Address:

501 W WASHINGTON ST
NORTH WEBSTER, IN
46555-0751

Practice Phone: 574-834-1393
Practice Fax: 833-527-8322

1528434545 — SENA KAUFMAN MA, LMHC
Practice Location Address:

225 N. MAIN ST. STE 5
NORTH WEBSTER, IN
46555-0751

Practice Phone: 574-834-1393
Practice Fax: 833-527-8322

1043749088 — CAROLYN R. GLOCK MA, LMHC
Practice Location Address:

225 N. MAIN ST. SUITE 5
NORTH WEBSTER, IN
46555-0751

Practice Phone: 574-834-1393
Practice Fax: 833-527-8322

1942617105 — APRIL JIMERSON
Practice Location Address:

4016 SOLAR SYSTEM ST
NORTH LAS VEGAS, NV
89032-0751

Practice Phone: 702-328-0531
Practice Fax:

1407417348 — MOUNTAIN VISTA WELLNESS GROUP LLC
Practice Location Address:

1953 BAYHURST AVE
NORTH LAS VEGAS, NV
89031-0751

Practice Phone: 708-537-6511
Practice Fax:

1437199429 — WARSAW HEALTH SYSTEM, LLC
Practice Location Address:

614 N MAIN ST
NORTH WEBSTER, IN
46555-9364

Practice Phone: 574-372-5823
Practice Fax:

Directions to “ AMANDA SHAY HERENDEEN LSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.