Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amanda Koon

Individual provider Clinical Social Worker · NPI 1124706130

Amanda Koon is a Clinical Social Worker in Manistee, Michigan. Qualified in 2022, 4 years ago. Registered with an NPI since 2023.

Years since qualifying
4
In the registry since
2023
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Practice location Address checks out

2198 US 31 S
Manistee, MI 49660-9618
Phone: (231) 655-3146
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1124706130
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 10, 2023
Last updated in NPPESJuly 10, 2023
Certification dateJuly 10, 2023
Mailing address2198 Us 31 S, Manistee, MI 49660-9618

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated

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