Amanda L. Doemland, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

28624 Issued in TX

Practice address

5283 Old Brownsville Rd
Room 202
Corpus Christi, TX 78405-3908

Phone

(361) 806-5608

Fax

(361) 806-5404

NPI assigned

Nov 17, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Family Counseling Service

  • Mental Health Counselor
  • Corpus Christi, TX
  • NPI 1386690022
  NPD (past)

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254700800000",
    "number": "1053485466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5333 EVERHART RD",
            "address_2": "SUITE 206A",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784114835",
            "telephone_number": "361-225-3885",
            "fax_number": "361-225-3885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5283 OLD BROWNSVILLE RD",
            "address_2": "ROOM 202",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784053908",
            "telephone_number": "361-806-5608",
            "fax_number": "361-806-5404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOEMLAND",
        "first_name": "AMANDA",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2009-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "28624",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1416778-04",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Dodds, DO
• Zariah Raevon Dodds
• Barbara J Dodson, M.ED, CCCSLP
• Jami Lynn Dodson, FNP-C
• Mark A Dodson, MD
• David Frank Dohi, D.O.
• Erica Denise Dolan, PH.D., L.P.C., N.C.C
• Dolezal Chiropractic & Rehabilitation Professional Assoc
• David Dwayne Dolezal, DC
• Ashlea Dollgener

• Clinical Social Worker in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2009; 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.