Amanda Valltos, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

22953 Issued in MD

Practice address

225 Town Square Dr Ste 3
Lusby, MD 20657-6535

Phone

(410) 231-0488

NPI assigned

Jan 28, 2019

Last updated

Jan 28, 2019By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

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

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Thrive Counseling LLC

  dba Thriveworks

  • Mental Health Counselor
  • Lynchburg, VA
  • NPI 1215181300

  MD

  Medicare reassignment

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

{
    "created_epoch": "1548633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548633600000",
    "number": "1093279671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 TOWN SQUARE DR STE 3",
            "city": "LUSBY",
            "state": "MD",
            "postal_code": "206576535",
            "telephone_number": "410-231-0488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 TOWN SQUARE DR STE 3",
            "city": "LUSBY",
            "state": "MD",
            "postal_code": "206576535",
            "telephone_number": "410-231-0488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLTOS",
        "first_name": "AMANDA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-28",
        "last_updated": "2019-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "22953",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL WORK LICENSE",
            "identifier": "22953",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathleen Thompson, CRNP-F
• Victoria Todd, CPHT
• Jordan Todd Truitt, CT-AD
• Brittany Turner, LMSW
• Jack H Ursic, D.D.S.
• Maura Vilkoski
• Walgreen Co (Walgreens #10402)
• Walgreen Co. (Walgreens #10402)
• Loida Maria Walker, LMSW
• Stephanie Watson

• Social Worker in Lusby, MD
• Providers in Lusby, MD by specialty
• Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.