Individual provider Active NPI

Amanda Lynn Schiavoni, LCSW C

  • Clinical Social Worker
  • Prince Frederick, MD
National Provider Identifier
1164529053
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12141 Issued in MD
Practice address
301 Steeple Chase Drive
Suite 104
Prince Frederick, MD 20678
Phone
(410) 535-4854
Fax
(410) 535-6272
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 12141 MD Primary

Addresses

Primary practice location

301 Steeple Chase Drive
Suite 104
Prince Frederick, MD 20678

Mailing address

301 Steeple Chase Drive
Suite 104
Prince Frederick, MD 20678
Phone (410) 535-4854

Other names 1

  • Amanda Lynn Guy Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20041001000872 MD Practitioner - Clinical Social Worker 6406841543 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Andrew T Gergely, MD and Associates, LLCGroup PAC ID 1456323237, 16 clinicians

Practice addresses (Care Compare)

3175 W Ward Rd
Suite 200
Dunkirk, MD 20754-3024
Phone (410) 286-0664

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12141MDMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Andrew T Gergely, MD & Associates, LLC CurrentSince Aug 1, 2010 Accepting new patients
Vesta Inc Past Accepting new patients
DPK Counseling & Consulting LLC Past Accepting new patients

Locations

3175 W Ward Rd
Ste 200
Dunkirk, MD 20754
Phone (410) 286-0664

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.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164529053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 STEEPLE CHASE DRIVE",
            "address_2": "SUITE 104",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "20678",
            "telephone_number": "410-535-4854",
            "fax_number": "410-535-6272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 STEEPLE CHASE DRIVE",
            "address_2": "SUITE 104",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "20678",
            "telephone_number": "410-535-4854",
            "fax_number": "410-535-6272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHIAVONI",
        "first_name": "AMANDA",
        "middle_name": "LYNN",
        "credential": "LCSW C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "12141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "GUY",
            "middle_name": "LYNN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Prince Frederick, MD

Sources for this page

Verify at the official NPI Registry.