AMANDA R BRETTILLO NPI 1407577968

NPI Information

NPI: 1407577968
Provider Name: AMANDA R BRETTILLO
Classification: Social Worker - 1041C0700X
Specialization: Clinical
Entity Type: Individual
Address: 76 JOHNNY MARLOW RD
FAIRVIEW, NC
ZIP 28730
Phone: (828) 551-7571

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NPI Details

Amanda R Brettillo is a clinical social worker in Fairview, NC. The provider is 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. Amanda R Brettillo NPI is 1407577968. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

76 JOHNNY MARLOW RD
FAIRVIEW, NC
ZIP 28730-641
Phone: (828) 551-7571

The enumeration date for this NPI number is 9/2/2022 and was last updated on 4/8/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	LCAS-30634	NORTH CAROLINA	No
2	175T00000X	Peer Specialist		2022-9757-01	NORTH CAROLINA	No
3	347C00000X	Private Vehicle				No
4	1041C0700X	Social Worker	Clinical	P021851	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	M2024-9757-01	OTHER	NORTH CAROLINA	NORTH CAROLINA PEER SUPPORT SPECIALIST
2	P021851	OTHER	NORTH CAROLINA	LCSWA LICENSE
3	40422193	MEDICAID	NORTH CAROLINA
4	2022-9757-01	OTHER	NORTH CAROLINA	NC DIVISON OF MENTAL HEALTH,DEVELOPMETAL DISABILITIES AND SUBSTANCE ABUSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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