AMANDA DAY POLK LISW
NPI 1053847210
Counselor - Mental Health in Leesville, SC

Active since May 10, 2017
607 LAWSON RD, LEESVILLE, SC 29070(803) 727-6013 Get Directions Write a Review

NPPES record last updated: July 24, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 24, 2023, May 10, 2017 (2 updates tracked since 2017).

About Amanda Day Polk Lisw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA DAY POLK LISW (NPI 1053847210) is an individual mental health provider in Leesville, South Carolina, licensed in South Carolina (12039) and active in the NPI registry since May 2017.

NPPES Registry Identity

NPI1053847210
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameAMANDA DAY POLKCredential: LISW
Location Address607 LAWSON RDLeesville, SC 29070-7589
Mailing Address607 Lawson RdLeesville, SC 29070-7589 · (803) 727-6013
Sole ProprietorYes
Enumeration DateMay 10, 2017
Last NPPES UpdateJuly 24, 20232 updates tracked since enumeration
NPPES CertifiedJuly 24, 2023
NPI 1053847210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in SC · 12039
Also ListedSocial WorkerTaxonomy 104100000X · License 12039 (SC)
607 LAWSON RD, Leesville, SC 29070

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Polk's NPI number?

The NPI number for Amanda Polk is 1053847210. It was assigned to this individual provider in the NPPES registry on May 10, 2017.

Where is Amanda Polk located?

Amanda Polk practices at 607 Lawson Rd, Leesville, SC 29070. The listed phone number is (803) 727-6013.

What is Amanda Polk's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Amanda Polk was last updated on July 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.