Individual provider Active NPI

Amanda Gurock, MS, PLMHP, PMSW

  • Clinical Social Worker
  • Milwaukee, WI
National Provider Identifier
1083811558
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11807-123 Issued in WI
Practice address
9000 W Wisconsin Ave Ste 165
Milwaukee, WI 53226-4874
Phone
(414) 337-3400
Fax
(414) 337-3409
NPI assigned
Jun 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 7680 NE
Clinical Social Worker 1041C0700X 085242 NY
Clinical Social Worker 1041C0700X 11807-123 WI Primary

Addresses

Primary practice location

9000 W Wisconsin Ave Ste 165
Milwaukee, WI 53226-4874

Mailing address

9000 W Wisconsin Ave Ste 165
Milwaukee, WI 53226-4874
Phone (414) 337-3400

Other practice location 1

3308 N 50th St
Milwaukee, WI 53216-3214
Phone (402) 214-6949

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
085242NYMDClinical Social Worker
11807-123WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hill Counseling and Consulting, P.C. Mental Health Current Accepting new patients
Capstone Behavioral Health, Inc. Mental Health PastSince Aug 16, 2011 Accepting new patients

Locations

5150 N 90th St
Omaha, NE 68134
Phone (402) 871-9979

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1083811558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 W WISCONSIN AVE STE 165",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532264874",
            "telephone_number": "414-337-3400",
            "fax_number": "414-337-3409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 W WISCONSIN AVE STE 165",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532264874",
            "telephone_number": "414-337-3400",
            "fax_number": "414-337-3409"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3308 N 50th St",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532163214",
            "country_code": "US",
            "telephone_number": "402-214-6949",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUROCK",
        "first_name": "AMANDA",
        "credential": "MS, PLMHP, PMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-28",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "7680",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "085242",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "11807-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2025; 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.