Active NPI
Amanda N Richards, CDCA PRS
- Social Worker
- Ironton, OH
National Provider Identifier
1093318768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S.2411754
- Practice address
- 2903 S 5TH St
Ironton, OH 45638-2866 - Phone
- (740) 646-6640
- NPI assigned
- Nov 17, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 175567 | OH | |
| School Social Worker | 1041S0200X | |||
| Case Manager/Care Coordinator | 171M00000X | |||
| Social Worker | 104100000X | S.2411754 | OH | Primary |
Addresses
Primary practice location
2903 S 5TH St
Ironton, OH 45638-2866
Mailing address
81 Township Road 349
Ironton, OH 45638-8617
Phone (740) 442-7758
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 175567 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| S.2411754 | OH | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Land of Goshen Treatment Center, Inc | Current | Accepting new patients | |
| Land of Goshen Treatment Center, Inc | Current | Accepting new patients |
Locations
81 Township Road 349
Ironton, OH 45638
Phone (740) 442-7706
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/landofgoshentreatmentcenter/r4/
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Ironton, OH
- NPI 1003571795
-
- Substance Abuse Rehabilitation Facility
- Ironton, OH
- NPI 1568822633
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737072000000",
"number": "1093318768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "81 TOWNSHIP ROAD 349",
"city": "IRONTON",
"state": "OH",
"postal_code": "456388617",
"telephone_number": "740-442-7758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2903 S 5TH ST",
"city": "IRONTON",
"state": "OH",
"postal_code": "456382866",
"telephone_number": "740-646-6640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDS",
"first_name": "AMANDA",
"middle_name": "N",
"credential": "CDCA PRS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-17",
"last_updated": "2025-01-17",
"certification_date": "2025-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "175567",
"primary": false
},
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S.2411754",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ironton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.