Amanda Heather, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L6798 Issued in OR

Practice address

1940 Fir St S
Salem, OR 97302-5268

Phone

(503) 893-5439

NPI assigned

Jun 3, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Oct 1, 2023 through Oct 1, 2027

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• New Perspectives Center for Counseling & Therapy

  • Mental Health Counselor
  • Salem, OR
  • NPI 1063462281
  NPD (past)
• Optum Behavioral Care of Colorado, P.C.

  • Clinical Social Worker
  • De Pere, WI
  • NPI 1396622494
  NPD (past)

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

{
    "created_epoch": "1464912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686009600000",
    "number": "1144679887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 MILL ST SE UNIT 454",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973080815",
            "telephone_number": "503-893-5439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 FIR ST S",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973025268",
            "telephone_number": "503-893-5439"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1675 Winter St NE",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973017152",
            "country_code": "US",
            "telephone_number": "503-585-0351",
            "fax_number": "503-585-0212",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "890 Oak St SE",
            "address_2": "Building C",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973013905",
            "country_code": "US",
            "telephone_number": "503-814-2483",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEATHER",
        "first_name": "AMANDA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-03",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L6798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorraine Hearn, MA, QMHP
• Heart and Soul Wellness Clinic LLC
• Brandelynn Heath
• Dava Jean Heath
• Susan Ann Heath, LCSW
• James Earl Heder, MD
• Jason Cody Hedge, M.D.
• Misty Dawn Hedlund
• Richard Peter Hedlund, MD
• Melissa Hedstrom, MS NTP

• Clinical Social Worker in Salem, OR
• Providers in Salem, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.