Individual provider Active NPI

Amanda Smith, MSS, LCSW, CAADC

  • Clinical Social Worker
  • Lafayette Hill, PA
National Provider Identifier
1013319839
Registry record updated May 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW017861 Issued in PA
Practice address
555 Andorra Glen Court
Office Suite 12
Lafayette Hill, PA 19444
Phone
(484) 354-7162
NPI assigned
Sep 24, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW017861 PA Primary

Addresses

Primary practice location

555 Andorra Glen Court
Office Suite 12
Lafayette Hill, PA 19444

Mailing address

555 Andorra Glen Court
Office Suite 12
Lafayette Hill, PA 19444
Phone (484) 354-7162

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20141027001215 PA Practitioner - Clinical Social Worker 7416178991 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Main Line HealthcareGroup PAC ID 1951215201, 1,154 clinicians

Practice addresses (Care Compare)

3855 W Chester Pike
Newton Square, PA 19073-2304
Phone (484) 427-8000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW017861PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Main Line Healthcare CurrentSince Feb 1, 2020 Accepting new patients
Main Line Health Past Accepting new patients

Locations

830 Old Lancaster Rd
Ste 108
Bryn Mawr, PA 19010
Phone (610) 520-5200

414 Paoli Pike
Malvern, PA 19355
Phone (484) 596-5254

3855 West Chester Pike
Newtown Square, PA 19073
Phone (484) 337-6000

3803 West Chester Pike
Ste 160
Newtown Square, PA 19073
Phone (484) 337-1530

Networks

  • devoted network organization-2d523d8e-e8f9-454a-bcd3-333df65bdbe8
  • devoted network organization-9f3dfbd3-4aa6-4c92-8e71-9c4ed35ce037
  • devoted network organization-8ee96498-f86e-45f6-9fc9-a0f06c1636f9

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DHCEBA

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1411516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779408000000",
    "number": "1013319839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 ANDORRA GLEN COURT",
            "address_2": "OFFICE SUITE 12",
            "city": "LAFAYETTE HILL",
            "state": "PA",
            "postal_code": "19444",
            "telephone_number": "484-354-7162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 ANDORRA GLEN COURT",
            "address_2": "OFFICE SUITE 12",
            "city": "LAFAYETTE HILL",
            "state": "PA",
            "postal_code": "19444",
            "telephone_number": "484-354-7162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "AMANDA",
        "name_prefix": "Mrs.",
        "credential": "MSS, LCSW, CAADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-24",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW017861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette Hill, PA

Sources for this page

Verify at the official NPI Registry.