Amanda Anne Cornell, MSW, LCSW, LSCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2006016429 Issued in MO

Practice address

1555 NE Rice Rd
Lees Summit, MO 64086-5849

Phone

(816) 966-0900

Fax

(816) 347-3200

NPI assigned

Oct 18, 2007

Last updated

Sep 9, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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 MO

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

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.

• Rediscover

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lee's Summit, MO
  • NPI 1841235298
  Medicare reassignment NPD
• Rediscover

  • Methadone Clinic
  • Kansas City, MO
  • NPI 1659749414
  NPD
• The Children's Place, Inc.

  dba The Childrens Place

  • Professional Counselor
  • Kansas City, MO
  • NPI 1174680904

  Clinical

  NPD (past)

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631145600000",
    "number": "1033308762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 NE RICE RD",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640865849",
            "telephone_number": "816-966-9000",
            "fax_number": "816-347-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 NE RICE RD",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640865849",
            "telephone_number": "816-966-0900",
            "fax_number": "816-347-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNELL",
        "first_name": "AMANDA",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW, LSCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-18",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2006016429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Core Testing Solutions LLC
• Core Therapies
• Corinth Podiatry Group
• Corley Counseling LLC (Lakewood Family Therapy)
• Cary Corley, DOC
• Cornerstone Dermatology & Surgery Group, PC
• Cornerstone Endodontics Missouri LLC
• Myra Cornwell
• Corona Counseling, LLC
• Aubrey Leah Corona, LPC

• Clinical Social Worker in Lee's Summit, MO
• Providers in Lee's Summit, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.