Amanda Riendeau, LICSW-S

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

5353C-S Issued in AL

Practice address

1955 Rideout Dr NW Ste 400
Huntsville, AL 35806-1673

Phone

(256) 212-0567

NPI assigned

Sep 16, 2016

Reactivated

Jun 23, 2023

Last updated

Dec 12, 2024By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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, 2018

Medicare assignment

May accept Medicare assignment

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.

• Aspire Counseling and Consulting Services

  dba Social Work USA

  • Community/Behavioral Health Agency
  • Huntsville, AL
  • NPI 1720434939
  Medicare reassignment NPD
• West Alabama Mental Health Board

  • Mental Illness Community Based Residential Treatment Facility
  • Demopolis, AL
  • NPI 1083781785
  NPD (past)
• West Alabama Mental Health Board

  • Case Management Agency
  • Demopolis, AL
  • NPI 1689831166
  NPD (past)

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

{
    "created_epoch": "1473984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1033667290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1955 RIDEOUT DR NW STE 400",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358061673",
            "telephone_number": "256-212-0567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 RIDEOUT DR NW STE 400",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358061673",
            "telephone_number": "256-212-0567"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1215 S Walnut Ave",
            "address_purpose": "LOCATION",
            "city": "Demopolis",
            "state": "AL",
            "postal_code": "367323615",
            "country_code": "US",
            "telephone_number": "334-289-2410",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1105 Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Artesia",
            "state": "NM",
            "postal_code": "882101189",
            "country_code": "US",
            "telephone_number": "575-746-9848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIENDEAU",
        "first_name": "AMANDA",
        "credential": "LICSW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-16",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "deactivation_date": "2020-03-19",
        "reactivation_date": "2023-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "5353C-S",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mallory Danielle Ricketts, CNM, WHNP-BC
• Melissa Pirofsky Ricketts, CRNP
• Thomas Albert Ricks IV, MD
• Michael Lloyd Ridner, M.D.
• John R Riehl, DMD
• Heather Michelle Riffe, ATC
• Sean Keith Riggs, PMHNP-BC
• Rigsby Wellness and Compounding Incorporated (Huntsville Compounding Pharmacy)
• Phillip Kenneth Rigsby, PHARM.D.
• Roger C. Rinn, PHD

• Clinical Social Worker in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Clinical Social Worker in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; 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.