Provider Demographics
NPI:1982236733
Name:HERSHBERGER, AMANDA ALTHEA (LMSW)
Entity type:Individual
Prefix:MS
First Name:AMANDA
Middle Name:ALTHEA
Last Name:HERSHBERGER
Suffix:
Gender:
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7255 LEE HWY APT 603
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37421-1708
Mailing Address - Country:US
Mailing Address - Phone:423-436-1284
Mailing Address - Fax:
Practice Address - Street 1:7255 LEE HWY APT 603
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37421-1708
Practice Address - Country:US
Practice Address - Phone:423-436-1284
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-10
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAMSW010719104100000X, 104100000X
171M00000X
TN13290101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health