Amanda Nielsen, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

9876-C Issued in NV

Practice address

495 Apple St Ste 100
Reno, NV 89502-3527

Phone

(775) 525-0270

Fax

(775) 432-6150

NPI assigned

Mar 23, 2012

Last updated

Mar 16, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Renovation Mental Health Services LLCGroup PAC ID 9638395080, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Renovation Mental Health Services, LLC

  • Community/Behavioral Health Agency
  • Reno, NV
  • NPI 1649615683
  Medicare reassignment Care Compare group NPD Authorized official
• Yvette Kaunismaki M.D., P.C.

  dba Memor Behavioral Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Reno, NV
  • NPI 1184029464

  Social Worker

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1332460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647388800000",
    "number": "1003182049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 APPLE ST",
            "address_2": "STE 100",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895023527",
            "telephone_number": "775-525-0270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 APPLE ST STE 100",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895023527",
            "telephone_number": "775-525-0270",
            "fax_number": "775-432-6150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIELSEN",
        "first_name": "AMANDA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-23",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "9876-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Mae Nicol
• Nicole Dunn LLC
• Nathan Lee Nicolet, P.A.-C
• Rita Allison Nicoud, PA-C
• Alexis Annell Niel
• Earl S. Nielsen, PH.D.
• Elizabeth W Nielsen, PT
• Jarl Calmar Nielsen, M.D.
• Katherine Marie Nielsen
• Lorri L. Nielsen, APRN

• Clinical Social Worker in Reno, NV
• Providers in Reno, NV by specialty
• Clinical Social Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.