NPIMap

Organization Active NPI

Amanda T Paul, LCSW, Mt-BC

  • Clinical Social Worker
  • Louisville, KY
National Provider Identifier
1104331156
Registry record updated Dec 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3813 Issued in KY
Legal business name
AMANDA T PAUL, LCSW, MT-BC
Practice address
4523 Greymont Dr
Louisville, KY 40229-3588
Phone
(502) 640-3940
NPI assigned
Dec 12, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2017

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

Authorized official

Name
Amanda Thomason Paul, LCSW, MT-BCNPI 1629217682
Title
Licensed Clinical Social Worker
Phone
(502) 640-3940

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 3813 KY Primary

Addresses

Primary practice location

4523 Greymont Dr
Louisville, KY 40229-3588

Mailing address

4523 Greymont Dr
Louisville, KY 40229-3588
Phone (502) 640-3940

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1513036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513036800000",
    "number": "1104331156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4523 GREYMONT DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402293588",
            "telephone_number": "502-640-3940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4523 GREYMONT DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402293588",
            "telephone_number": "502-640-3940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMANDA T PAUL, LCSW, MT-BC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-12",
        "last_updated": "2017-12-12",
        "status": "A",
        "authorized_official_last_name": "PAUL",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "THOMASON",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "502-640-3940",
        "authorized_official_credential": "LCSW, MT-BC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "3813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2017; 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.