Amanda Diane Cipriani, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

20699 Issued in MD

Practice address

225 Town Square Dr Ste 3
Lusby, MD 20657-6535

Phone

(410) 231-0488

NPI assigned

Oct 24, 2014

Last updated

May 3, 2024By the provider in NPPES

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

Other names 1

• Ms. Amanda Diane Pickerall Former name

Medicare fee-for-service enrollment

Enrolled in MD, ID2 enrollments

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 2

Specialty

Clinical Social Worker

Education

Other, 2014

Medicare assignment

May accept Medicare assignment

Group practices

Volunteer Tele-Services LLCGroup PAC ID 5991112294, 4 clinicians

Lifehouse Healthcare PLLCGroup PAC ID 2062872625, 4 clinicians

Evolve Life Centers Iop LLCGroup PAC ID 6002291051, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Evolve Life Centers Iop LLC

  dba ELC Mental Health Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Pasadena, MD
  • NPI 1568123966
  Medicare reassignment Care Compare group NPD
• Volunteer Tele-Services LLC

  • Nurse Practitioner
  • Annapolis, MD
  • NPI 1154916476
  Medicare reassignment Care Compare group NPD
• Lifehouse Healthcare PLLC

  dba Lifehouse Healthcare

  • Multi-Specialty Clinic/Center
  • Coeur d'Alene, ID
  • NPI 1467142315
  Medicare reassignment Care Compare group NPD
• Blue Sails Counseling and Consulting, Inc

  • Adult Mental Health Clinic/Center
  • Lusby, MD
  • NPI 1790038172
  Medicare reassignment NPD

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

{
    "created_epoch": "1414108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714694400000",
    "number": "1194120758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 EISSEL ST",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285622639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 TOWN SQUARE DR STE 3",
            "city": "LUSBY",
            "state": "MD",
            "postal_code": "206576535",
            "telephone_number": "410-231-0488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIPRIANI",
        "first_name": "AMANDA",
        "middle_name": "DIANE",
        "name_prefix": "Ms.",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-24",
        "last_updated": "2024-05-03",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "20699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "PICKERALL",
            "middle_name": "DIANE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Calvert County Health Department (Calvert County Mental Health Clinic)
• Calvert County Health Department (Calvert County Mental Health Clinic)
• Calvert Memorial Hospital of Calvert County (Calvert Community Dental Care - Lusby)
• Joan Carey
• Charles W Bennett MD LLC
• Shannon Crush, CD(DONA)
• Tolulope Dehinbo, PHARM.D
• Sarah Delaney, CLD
• Dependable Care
• Christina Dawn Donner

• Clinical Social Worker in Lusby, MD
• Providers in Lusby, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.