Amanda Sander, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

092771 Issued in NY

Practice address

268 Broadway Ste 101
Saratoga Springs, NY 12866-4256

Phone

(888) 454-3827

NPI assigned

Jan 6, 2020

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

Electronic endpoints 3

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

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.

• Professional Medical Concierge Services, PLLC

  • Family Medicine Physician
  • Saratoga Springs, NY
  • NPI 1841812310

  Clinical

  Medicare reassignment NPD

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

{
    "created_epoch": "1578268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1184263386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "173 GOODMAN RD",
            "city": "FORT ANN",
            "state": "NY",
            "postal_code": "128275315",
            "telephone_number": "518-321-4563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "268 BROADWAY STE 101",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128664256",
            "telephone_number": "888-454-3827"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Sanford St",
            "address_purpose": "LOCATION",
            "city": "Glens Falls",
            "state": "NY",
            "postal_code": "128012931",
            "country_code": "US",
            "telephone_number": "518-761-6964",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "413 Bay Rd",
            "address_purpose": "LOCATION",
            "city": "Queensbury",
            "state": "NY",
            "postal_code": "128041408",
            "country_code": "US",
            "telephone_number": "518-761-2025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDER",
        "first_name": "AMANDA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-06",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "102061",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "092771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "asander@wswheboces.org",
            "affiliation": "Y",
            "affiliationName": "WSWHE BOCES",
            "address_1": "10 Sanford St",
            "city": "Glens Falls",
            "state": "NY",
            "country_code": "US",
            "postal_code": "128012931",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "asander@wswheboces.org",
            "affiliation": "Y",
            "affiliationName": "WSWHE BOCES",
            "address_1": "10 Sanford St",
            "city": "Glens Falls",
            "state": "NY",
            "country_code": "US",
            "postal_code": "128012931",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "asander@wswheboces.org",
            "affiliation": "Y",
            "affiliationName": "WSWHE BOCES",
            "address_1": "10 Sanford St",
            "city": "Glens Falls",
            "state": "NY",
            "country_code": "US",
            "postal_code": "128012931",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rachel Marie Sammons, DPT
• Sampson's Prosthetic Laboratory Inc (Hanger Clinic)
• Samuel S Caldwell, MD
• Emma R Sanborn, DO
• Dharma Sarahi Sanchez-Flores, M.S, SLP-CCC
• Elizabeth Santilli, LCSW
• Eileen Santoro, NP
• Saratoga Cardiology Associates PC
• Saratoga Cardiology Associates PC
• Saratoga Care

• Clinical Social Worker in Saratoga Springs, NY
• Providers in Saratoga Springs, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.