Individual provider Active NPI

Amanda Lynn Burgod, LMSW

  • Social Worker
  • Des Moines, IA
National Provider Identifier
1063853836
Registry record updated Jun 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
008217 Issued in IA
Practice address
3811 38TH St
Des Moines, IA 50310-3648
Phone
(515) 450-7478
NPI assigned
Jul 9, 2013
Last updated
Jun 22, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 008217 IA Primary

Addresses

Primary practice location

3811 38TH St
Des Moines, IA 50310-3648

Mailing address

6200 Aurora Ave
Ste 103E
Urbandale, IA 50322-6338
Phone (515) 401-6886

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
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

OrganizationSpecialtyStatusNew patients
New Beginnings Counseling Service, LLC Social Worker CurrentSince Jul 24, 2022 Accepting new patients

Locations

6200 Aurora Ave
Ste 103E
Urbandale, IA 50322
Phone (515) 401-6886

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": "1373328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498089600000",
    "number": "1063853836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 AURORA AVE",
            "address_2": "STE 103E",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503226338",
            "telephone_number": "515-401-6886",
            "fax_number": "515-401-7856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3811 38TH ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503103648",
            "telephone_number": "515-450-7478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGOD",
        "first_name": "AMANDA",
        "middle_name": "LYNN",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-09",
        "last_updated": "2017-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": "008217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2017; 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.