DEBRA JEAN AMIDON LCSW
NPI 1215083431
Social Worker - Clinical in Kendallville, IN

Active since January 29, 2007
1930 DOWLING ST, KENDALLVILLE, IN 46755(260) 347-4400(260) 347-3122 Get Directions Write a Review

NPPES record last updated: January 8, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Debra Jean Amidon Lcsw NPPES

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

DEBRA JEAN AMIDON LCSW (NPI 1215083431) is an individual clinical provider in Kendallville, Indiana, licensed in Indiana (34004904A) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1215083431
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameDEBRA JEAN AMIDONCredential: LCSW
Location Address1930 DOWLING STKendallville, IN 46755-9436
Mailing AddressPo Box 817Kendallville, IN 46755-0817 · (260) 347-2453 · Fax (260) 347-2456
Fax(260) 347-3122
Sole ProprietorNo
Enumeration DateJanuary 29, 2007
Last NPPES UpdateJanuary 8, 2010
NPI 1215083431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in IN · 34004904A
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1930 DOWLING ST, Kendallville, IN 46755

Other Identifiers 2

Medicare PIN581480TIN
Other34004904AIN · License

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Health Maintenance Organization
1930 DOWLING ST
KENDALLVILLE, IN 46755
Counselor (Mental Health)
1930 DOWLING ST
KENDALLVILLE, IN 46755
Pharmacist
1930 DOWLING ST
KENDALLVILLE, IN 46755
Social Worker (Clinical)
1930 DOWLING ST
KENDALLVILLE, IN 46755
Marriage & Family Therapist
1930 DOWLING ST
KENDALLVILLE, IN 46755
Social Worker (Clinical)
1930 DOWLING ST
KENDALLVILLE, IN 46755
Counselor (Mental Health)
1930 DOWLING ST
KENDALLVILLE, IN 46755
Counselor (Mental Health)
1930 DOWLING ST
KENDALLVILLE, IN 46755

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 Debra Amidon's NPI number?

The NPI number for Debra Amidon is 1215083431. It was assigned to this individual provider in the NPPES registry on January 29, 2007.

Where is Debra Amidon located?

Debra Amidon practices at 1930 Dowling St, Kendallville, IN 46755. The listed phone number is (260) 347-4400.

What is Debra Amidon's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Debra Amidon was last updated on January 8, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.