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

Amanda R Lewis, LCSW

Individual provider Clinical Social Worker · NPI 1518360171

Amanda R Lewis, LCSW is a Clinical Social Worker in O Fallon, Illinois. Qualified in 2012, 14 years ago. Practices as a sole proprietor, works from 2 locations and offers telehealth. Licensed in Illinois.

Years since qualifying
14
Licensed in
IL
In the registry since
2014
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

See every abbreviation used in this directory →

Practice location Address checks out

1405 N Green Mount Rd Ste 230
O Fallon, IL 62269-3494
Phone: (618) 334-5571
Fax: (618) 551-8955
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1161 Fortune Blvd, Shiloh, IL 62269-7385 — (618) 334-5571

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 149.018245 (IL)

Record details

NPI number1518360171
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedSeptember 26, 2014
Last updated in NPPESFebruary 20, 2019

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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