Individual provider Active NPI

Amanda Rae Sylvester, MSW, CMHS, LICSW

  • Clinical Social Worker
  • Kennewick, WA
National Provider Identifier
1104160761
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW60134409 Issued in WA
Practice address
8927 W Tucannon Ave
Suite 107
Kennewick, WA 99336-7176
Phone
(509) 737-7052
Fax
(509) 619-0223
NPI assigned
Nov 20, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Doula 374J00000X BD70057914 WA
School Social Worker 1041S0200X 394375J WA
Clinical Social Worker 1041C0700X LW60134409 WA Primary

Addresses

Primary practice location

8927 W Tucannon Ave
Suite 107
Kennewick, WA 99336-7176

Mailing address

8927 W Tucannon Ave Ste A107
Kennewick, WA 99336-7176
Phone (509) 737-7052

Other identifiers 1

IdentifierTypeStateIssuer
12356553OtherWACAQH PROVIDER ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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

Enrollment IDStateProvider typePAC IDDetails
I20250827003439 WA Practitioner - Clinical Social Worker 0840791372 Practice locations: Kennewick, WA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

827 N Pine St
Colville, WA 99114-9440

8927 W Tucannon Ave
Kennewick, WA 99336-7176
Phone (509) 737-7052

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LW60134409WAMDClinical Social Worker
394375JWAMDSchool Social Worker
BD70057914WAMDDoula

NPI Registry JSON

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

{
    "created_epoch": "1353369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1104160761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8927 W TUCANNON AVE STE A107",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367176",
            "telephone_number": "509-737-7052",
            "fax_number": "509-619-0223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8927 W TUCANNON AVE",
            "address_2": "SUITE 107",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367176",
            "telephone_number": "509-737-7052",
            "fax_number": "509-619-0223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYLVESTER",
        "first_name": "AMANDA",
        "middle_name": "RAE",
        "credential": "MSW, CMHS, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-20",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "WA",
            "license": "BD70057914",
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "WA",
            "license": "394375J",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60134409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH PROVIDER ID",
            "identifier": "12356553",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

Verify at the official NPI Registry.