AMANDA JAY PETRY LCSW
NPI 1427558337
Social Worker - Clinical in Las Vegas, NV

Q: What is Amanda Petry's NPI number?

The NPI number for Amanda Petry is 1427558337. It was assigned to this individual provider in the NPPES registry on February 16, 2018.

Q: What is Amanda Petry's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Amanda Petry was last updated on July 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since February 16, 2018

1180 N TOWN CENTER DR STE 100, LAS VEGAS, NV 89144(775) 657-1688 Get Directions Write a Review

NPPES record last updated: July 29, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 29, 2022, Apr 19, 2022, Jun 3, 2020 and 1 more (4 updates tracked since 2018).

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About Amanda Jay Petry Lcsw NPPES

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

AMANDA JAY PETRY LCSW (NPI 1427558337) is an individual clinical provider in Las Vegas, Nevada, licensed in Nevada (8638-C) and active in the NPI registry since February 2018. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1427558337

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameAMANDA JAY PETRYCredential: LCSW

Location Address1180 N TOWN CENTER DR STE 100Las Vegas, NV 89144-6308

Mailing Address1180 N Town Center Dr Ste 100Las Vegas, NV 89144-6308 · (775) 657-1688

Phone(775) 657-1688

Sole ProprietorYes

Enumeration DateFebruary 16, 2018

Last NPPES UpdateJuly 29, 20224 updates tracked since enumeration

NPPES CertifiedJuly 29, 2022

✔ NPI 1427558337 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 NV · 8638-C

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.

1180 N TOWN CENTER DR STE 100, Las Vegas, NV 89144

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Secondary Practice Locations 2

Location 1911 N Buffalo Dr Unit 213Las Vegas, NV 89128-0381 · Phone (702) 405-8088

Location 27390 W Sahara Ave Ste 240Las Vegas, NV 89117-2764 · Phone (702) 305-0234

Other Identifiers 1

Medicaid100557642NV

Other Providers at the Same Location NPPES 20

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

MEGAN A BOSWORTH MS, RD, LD

Dietitian, Registered