Provider Demographics
NPI:1538865217
Name:BARTEL, AMY M (LSW)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:M
Last Name:BARTEL
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1683 DAKOTA PL
Mailing Address - Street 2:
Mailing Address - City:DEFIANCE
Mailing Address - State:OH
Mailing Address - Zip Code:43512-3697
Mailing Address - Country:US
Mailing Address - Phone:614-735-7453
Mailing Address - Fax:
Practice Address - Street 1:521 S SHANNON ST
Practice Address - Street 2:
Practice Address - City:VAN WERT
Practice Address - State:OH
Practice Address - Zip Code:45891-1954
Practice Address - Country:US
Practice Address - Phone:614-735-7453
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-03
Last Update Date:2023-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS.2106137104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker