Individual provider Active NPI

Amanda Jill Windyk, MSW, LICSW

  • Clinical Social Worker
  • Edina, MN
National Provider Identifier
1124398748
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
19798 Issued in MN
Practice address
7401 Metro Blvd Ste 203
Edina, MN 55439-3025
Phone
(651) 217-1480
Fax
(833) 972-5926
NPI assigned
Jan 12, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 19798 MN Primary

Addresses

Primary practice location

7401 Metro Blvd Ste 203
Edina, MN 55439-3025

Mailing address

5995 Oren Ave N Ste 203
Oak Park Heights, MN 55082-6379
Phone (651) 217-1480

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20120815000064 MN Practitioner - Clinical Social Worker 7012163603 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Collaborative Psychiatric Services LLC CurrentSince Dec 7, 2025 Accepting new patients
Vantage Mental Health CurrentSince Dec 8, 2025 Accepting new patients
The Family Partnership Past Accepting new patients

Locations

7401 Metro Blvd
Ste 425
Edina, MN 55439
Phone (651) 217-1480

5995 Oren Ave N
Ste 203
Stillwater, MN 55082
Phone (651) 217-1480

Organizations & group practices 3

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.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vantage Mental Health 29 clinicians

Practice addresses (Care Compare)

7401 Metro Blvd
Suite 425
Edina, MN 55439-3011
Phone (651) 217-1480

NPI Registry JSON

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

{
    "created_epoch": "1326326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764720000000",
    "number": "1124398748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5995 OREN AVE N STE 203",
            "city": "OAK PARK HEIGHTS",
            "state": "MN",
            "postal_code": "550826379",
            "telephone_number": "651-217-1480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7401 METRO BLVD STE 203",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554393025",
            "telephone_number": "651-217-1480",
            "fax_number": "833-972-5926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINDYK",
        "first_name": "AMANDA",
        "middle_name": "JILL",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-12",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "19798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.