Individual provider Active NPI

Amanda Lee Irwin-Rugg, LCSW

  • Clinical Social Worker
  • Hillsboro, OR
National Provider Identifier
1124613476
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW023812 Issued in PA
Practice address
1925 NE Stucki Ave Ste 150
Hillsboro, OR 97006-6950
Phone
(814) 408-0014
NPI assigned
Mar 8, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW023812 PA Primary
Clinical Social Worker 1041C0700X L15903 OR
Social Worker 104100000X AR165251 PA

Addresses

Primary practice location

1925 NE Stucki Ave Ste 150
Hillsboro, OR 97006-6950

Mailing address

1925 NE Stucki Ave Ste 150
Hillsboro, OR 97006-6950
Phone (814) 408-0014

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20231012002203 PA Practitioner - Clinical Social Worker 6002261997 Reassigns benefits to 4 organizations
I20250129003165 OR Practitioner - Clinical Social Worker 6002261997 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Pittsburgh School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifeline Medical CenterGroup PAC ID 3678948577, 22 clinicians

Practice addresses (Care Compare)

3159 Carpenters Park Rd
Davidsville, PA 15928-9223
Phone (814) 408-0014

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AR165251PAMDSocial Worker
CW023812PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lifeline Medical Center CurrentSince Jan 14, 2025 Accepting new patients
Sondermind, P.a. Clinical CurrentSince Sep 15, 2025 Accepting new patients
Choices Clinical Counseling, LLC CurrentSince Sep 24, 2025 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Aug 22, 2025 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

1915 NE Stucki Ave
Ste 400
Hillsboro, OR 97006
Phone (844) 408-0014

1925 NE Stucki Ave
Ste 150
Hillsboro, OR 97006

10260 SW Greenburg Rd
Fl 4
Tigard, OR 97223
Phone (503) 405-9338

2517 Bedford St
Johnstown, PA 15904
Phone (814) 241-7990

500 Galleria Dr
Ste 164
Johnstown, PA 15904

1626 Locust St
Philadelphia, PA 19103
Phone (215) 709-3177

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20067/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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": "1615161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759190400000",
    "number": "1124613476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 NE STUCKI AVE STE 150",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "970066950",
            "telephone_number": "814-408-0014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 NE STUCKI AVE STE 150",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "970066950",
            "telephone_number": "814-408-0014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRWIN-RUGG",
        "first_name": "AMANDA",
        "middle_name": "LEE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-08",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW023812",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L15903",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "AR165251",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OR

Sources for this page

Verify at the official NPI Registry.