Amanda Chase

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

MSW007888 Issued in GA

Practice address

404 Corder Rd Ste 300
Warner Robins, GA 31088-7195

Phone

(478) 449-1475

NPI assigned

Sep 20, 2023

Sex

Female

Sole proprietor

No

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

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Southern Bridge Inc

  • Marriage & Family Therapist
  • Warner Robins, GA
  • NPI 1386097848
  NPD

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

{
    "created_epoch": "1695168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1154109130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 CORDER RD STE 300",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310887195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 CORDER RD STE 300",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310887195",
            "telephone_number": "478-449-1475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHASE",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-20",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "MSW007888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leondreayah Chandler
• Carnaria R. Chapman
• Melanie Chapman, CPS, CPS-P, CPS-WH
• Sandra P Charles, ICADC, CADCII, CCS
• Shaquan Charles
• Heather Coffeen Chastain, NP - C
• Brittany Cheek, LPN
• Cheryl L . Howard Young, DO, PC
• Tamika L Chester, NP
• Christopher Chiappetto, NP

• Clinical Social Worker in Warner Robins, GA
• Providers in Warner Robins, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; 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.