Amanda Boman
NPI 1720457948ActiveIndividual· Social Worker, Clinical· Edgerton, WI
Social Worker, Clinical in Edgerton, Wisconsin, with an NPI issued in September 2015. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1720457948 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Sep 17, 2015 |
| Last updated in NPPES | Mar 7, 2022 |
| Certified by provider | Mar 7, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (WI) |
|---|
Education and affiliations
| Graduation year | 2008 |
|---|---|
| Medicare specialty | Clinical Social Worker |
Other Social Worker, Clinical providers in Edgerton
- 1962979120
- 1780700708
- 1699546119