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

Amanda Marie Anhalt, LCSW, CSAC

Individual provider Clinical Social Worker · NPI 1447758693

Amanda Marie Anhalt, LCSW, CSAC is a Clinical Social Worker in Plymouth, Wisconsin. Qualified in 2007, 19 years ago. Practices with North Shore Center LLC, a 2-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Wisconsin.

Years since qualifying
19
Licensed in
WI
In the registry since
2018
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

2600 Kiley Way
Plymouth, WI 53073-5020
Phone: (920) 459-1494
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1011 N 8th St, Sheboygan, WI 53081-4006 — (920) 459-3173

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 8860-123 (WI)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 16200-132 (WI)

Record details

NPI number1447758693
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW , CSAC
Sole proprietorNo
NPI enumeratedJanuary 23, 2018
Last updated in NPPESJanuary 19, 2026
Certification dateJanuary 19, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice North Shore Center Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Plymouth