Individual provider Active NPI

Amanda Paige Neely, LICSWA

  • Social Worker
  • Spokane, WA
National Provider Identifier
1093483182
Registry record updated Sep 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SC61194432 Issued in WA
Practice address
525 W 2ND Ave
Spokane, WA 99201-4301
Phone
(509) 624-2378
Fax
(509) 241-1840
NPI assigned
Sep 2, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2021

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 SC61194432 WA Primary

Addresses

Primary practice location

525 W 2ND Ave
Spokane, WA 99201-4301

Mailing address

525 W 2ND Ave
Spokane, WA 99201-4301
Phone (509) 624-2378

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

LicenseStateTypeSpecialty
SC61194432WAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Volunteers of America Inc CurrentSince Nov 2, 2022 Accepting new patients

Locations

525 W 2nd Ave
Spokane, WA 99201
Phone (509) 624-2378

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1630540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1093483182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 W 2ND AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992014301",
            "telephone_number": "509-624-2378",
            "fax_number": "509-241-1840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 W 2ND AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992014301",
            "telephone_number": "509-624-2378",
            "fax_number": "509-241-1840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEELY",
        "first_name": "AMANDA",
        "middle_name": "PAIGE",
        "credential": "LICSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-02",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WA",
            "license": "SC61194432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; 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.