Individual provider Active NPI

Amanda Dunn, LCSW-BACS

  • Clinical Social Worker
  • Mandeville, LA
National Provider Identifier
1215209010
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8439 Issued in LA
Practice address
900 Wilkinson St
Mandeville, LA 70448-3533
Phone
(985) 624-4450
Fax
(985) 624-4461
NPI assigned
Feb 8, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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 8439 LA Primary

Addresses

Primary practice location

900 Wilkinson St
Mandeville, LA 70448-3533

Mailing address

900 Wilkinson St
Mandeville, LA 70448-3533
Phone (985) 624-4450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20150515001687 LA Practitioner - Clinical Social Worker 9739409632 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27192TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Parishes Human Services Authority CurrentSince Apr 1, 2015 Accepting new patients
Florida Parishes Human Services Authority CurrentSince Apr 1, 2015 Accepting new patients

Locations

400 Georgia Ave
Ste 1
Bogalusa, LA 70427
Phone (985) 732-6610

1951 Florida Ave SW
Ste D
Denham Springs, LA 70726
Phone (225) 665-0473

1951 Florida Ave SW
#D
Denham Springs, LA 70726

835 Pride Dr
Ste B
Hammond, LA 70401
Phone (985) 543-4333

900 Wilkinson St
Mandeville, LA 70448
Phone (985) 624-4450

2331 Carey St
Slidell, LA 70458
Phone (985) 646-6406

Organizations & group practices 2

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": "1328659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1215209010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 WILKINSON ST",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704483533",
            "telephone_number": "985-624-4450",
            "fax_number": "985-624-4461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 WILKINSON ST",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704483533",
            "telephone_number": "985-624-4450",
            "fax_number": "985-624-4461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNN",
        "first_name": "AMANDA",
        "name_prefix": "Ms.",
        "credential": "LCSW-BACS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-08",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "8439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mandeville, LA

Sources for this page

Verify at the official NPI Registry.