Provider Demographics
NPI:1013618024
Name:SCHOETTINGER, AMANDA ROSE (LMSW)
Entity Type:Individual
Prefix:MRS
First Name:AMANDA
Middle Name:ROSE
Last Name:SCHOETTINGER
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11976 HAGGERMAN RD
Mailing Address - Street 2:
Mailing Address - City:SOUTH ROCKWOOD
Mailing Address - State:MI
Mailing Address - Zip Code:48179-9504
Mailing Address - Country:US
Mailing Address - Phone:734-368-3373
Mailing Address - Fax:
Practice Address - Street 1:11976 HAGGERMAN RD
Practice Address - Street 2:
Practice Address - City:SOUTH ROCKWOOD
Practice Address - State:MI
Practice Address - Zip Code:48179-9504
Practice Address - Country:US
Practice Address - Phone:734-368-3373
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-15
Last Update Date:2023-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68011047961041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical