Individual provider Active NPI

Amanda Dawn Hamlet, LCSW

  • Clinical Social Worker
  • Owensboro, KY
National Provider Identifier
1023757986
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
259687 Issued in KY
Practice address
111 W 3Rd St Ste 5
Owensboro, KY 42303-4120
Phone
(270) 315-6514
NPI assigned
May 31, 2022
Last updated
Oct 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 259687 KY Primary
Clinical Social Worker 1041C0700X 256943 KY

Addresses

Primary practice location

111 W 3Rd St Ste 5
Owensboro, KY 42303-4120

Mailing address

5824 Highway 405
Owensboro, KY 42303-9580
Phone (270) 315-6514

Other practice location 1

1326 W 9th St
Owensboro, KY 42301-2028
Phone (270) 240-1076

Other names 1

  • Amanda Dawn Brothers Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
256943KYMDClinical Social Worker
259687KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Connections, LLC Clinical CurrentSince Jun 1, 2022 Accepting new patients

Locations

1326 W 9th St
Owensboro, KY 42301
Phone (270) 240-1076

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1653955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1023757986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5824 HIGHWAY 405",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423039580",
            "telephone_number": "270-315-6514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W 3RD ST STE 5",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423034120",
            "telephone_number": "270-315-6514"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1326 W 9th St",
            "address_purpose": "LOCATION",
            "city": "Owensboro",
            "state": "KY",
            "postal_code": "423012028",
            "country_code": "US",
            "telephone_number": "270-240-1076",
            "fax_number": "270-240-2154",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMLET",
        "first_name": "AMANDA",
        "middle_name": "DAWN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-31",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "259687",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "256943",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "BROTHERS",
            "middle_name": "DAWN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Owensboro, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.