Amanda Renee Cortez, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34859 Issued in TX

Practice address

303 S Highway 78
Suite 202
Wylie, TX 75098-3944

Phone

(469) 342-3468

Fax

(469) 342-3466

NPI assigned

Jun 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Clinical Social Worker

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

CCNT IncGroup PAC ID 3173809621, 16 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 and National Provider Directory roles.

• CCNT Inc.

  • Clinical Social Worker
  • Wylie, TX
  • NPI 1912447681
  Medicare reassignment Care Compare group NPD
• Vanessa Gill

  • Community/Behavioral Health Agency
  • Wylie, TX
  • NPI 1295076560
  NPD

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

{
    "created_epoch": "1371081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371081600000",
    "number": "1205274149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 SOUTH HIGHWAY 78",
            "address_2": "SUITE 202",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "75098",
            "telephone_number": "469-342-3468",
            "fax_number": "469-342-3466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 S HIGHWAY 78",
            "address_2": "SUITE 202",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750983944",
            "telephone_number": "469-342-3468",
            "fax_number": "469-342-3466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORTEZ",
        "first_name": "AMANDA",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-13",
        "last_updated": "2013-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "34859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gina W. Cooper
• Cornerstone Assisted Living of Wylie
• Cornerstone Family Eyecare LLC
• Garry Drew Coronell, LPC-A
• Stephanie Correa, CERT.PHLEBOTOMIST
• Countrywide Transportation
• Craig E Schacherer OD PA
• Jaclyn Crawford, PT, DPT, MTC
• Axel Rene Cristales, LPC
• Christine Culp

• Clinical Social Worker in Wylie, TX
• Providers in Wylie, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2013; 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.