Individual provider Active NPI

Amanda H Griffith, LCSW

  • Clinical Social Worker
  • Birmingham, AL
National Provider Identifier
1043852866
Registry record updated Oct 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3639C Issued in AL
Practice address
48 Medical Park Dr E Ste 159
Birmingham, AL 35235-3462
Phone
(205) 838-3349
Fax
(205) 838-3451
NPI assigned
Oct 14, 2019
Last updated
Oct 17, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2019

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 3639C AL Primary

Addresses

Primary practice location

48 Medical Park Dr E Ste 159
Birmingham, AL 35235-3462

Mailing address

48 Medical Park Dr E Ste 159
Birmingham, AL 35235-3462
Phone (205) 838-3349

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20200109001762 AL Practitioner - Clinical Social Worker 7517392095 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3639CALMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Board of Chilton and Shelby Counties Inc CurrentSince Dec 7, 2021 Accepting new patients
Mental Health Board of Chilton and Shelby Counties Inc CurrentSince Dec 7, 2021 Accepting new patients
Vincentian Physician Services LLC CurrentSince Nov 5, 2019 Accepting new patients
Lawley Counseling, LLC Past Accepting new patients

Locations

48 Medical Park Dr E
Ste 159
Birmingham, AL 35235
Phone (205) 838-3349

810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456

110 Medical Center Dr
Clanton, AL 35045
Phone (205) 755-5933

2217 Decatur Hwy
#101
Gardendale, AL 35071
Phone (205) 418-1200

2100 County Services Dr
Pelham, AL 35124
Phone (205) 651-0077

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/centralalabamawellness/r4/

Organizations & group practices 4

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": "1571011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571270400000",
    "number": "1043852866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 MEDICAL PARK DR E STE 159",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353462",
            "telephone_number": "205-838-3349",
            "fax_number": "205-838-3451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 MEDICAL PARK DR E STE 159",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353462",
            "telephone_number": "205-838-3349",
            "fax_number": "205-838-3451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFITH",
        "first_name": "AMANDA",
        "middle_name": "H",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-14",
        "last_updated": "2019-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "3639C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.