Amanda C Symmes, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

12086 Issued in MA

Practice address

93 Main St Ste 131
Andover, MA 01810-3847

Phone

(978) 766-6041

NPI assigned

May 13, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Pediatric Health Care Associates PC

  • Pediatrics Physician
  • Peabody, MA
  • NPI 1821153180
  NPD (past)

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

{
    "created_epoch": "1368403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1164868519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 HOOD RD",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019232202",
            "telephone_number": "978-766-6041",
            "fax_number": "978-535-2907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 MAIN ST STE 131",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018103847",
            "telephone_number": "978-766-6041"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Centennial Dr Ste 104",
            "address_purpose": "LOCATION",
            "city": "Peabody",
            "state": "MA",
            "postal_code": "019602298",
            "country_code": "US",
            "telephone_number": "978-535-1110",
            "fax_number": "978-535-2907",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SYMMES",
        "first_name": "AMANDA",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-13",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "12086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric C Stubenhaus, PH.D.
• Janet Suleski
• Karen Sullivan
• Matthew J Sullivan, PA-C
• Susana C.Lugo M.D.,LLC
• Talis Behavioral Health
• Rebecca R Tamasanis, LICSW
• Mary Alice Taschner, DNP, ANP-BC
• Robin L Taylor, P.T.
• Victoria Taylor, PT

• Clinical Social Worker in Andover, MA
• Providers in Andover, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; 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.