Individual provider Active NPI

Amanda Bennett, MSW, LCSW

  • Clinical Social Worker
  • Grants Pass, OR
National Provider Identifier
1215307244
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L16788 Issued in OR
Practice address
342 Patrick Rd
Grants Pass, OR 97527-9158
Phone
(541) 761-9377
NPI assigned
Oct 2, 2015
Last updated
Mar 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X L16788 OR Primary
Specialist 174400000X NU

Addresses

Primary practice location

342 Patrick Rd
Grants Pass, OR 97527-9158

Mailing address

342 Patrick Rd
Grants Pass, OR 97527-9158
Phone (415) 761-9377

Other practice location 1

715 SW Ramsey Ave
Grants Pass, OR 97527-5500
Phone (541) 956-4943

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20250918002115 OR Practitioner - Clinical Social Worker 2961906334 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Portland DBT Institute IncGroup PAC ID 7911141742, 28 clinicians

Practice addresses (Care Compare)

5100 S Macadam Ave
Suite 350
Portland, OR 97239-3877
Phone (503) 231-7854

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
L16788ORMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Portland DBT Institute, Inc. CurrentSince Aug 22, 2025 Accepting new patients

Locations

7 Crater Lake Ave
Ste 7A
Medford, OR 97504

5100 S Macadam Ave
Ste 350
Portland, OR 97239
Phone (503) 231-7854

5200 S Macadam Ave
Ste 580
Portland, OR 97239
Phone (503) 231-7854

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1443744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1215307244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 PATRICK RD",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975279158",
            "telephone_number": "415-761-9377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "342 PATRICK RD",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975279158",
            "telephone_number": "541-761-9377"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "715 SW Ramsey Ave",
            "address_purpose": "LOCATION",
            "city": "Grants Pass",
            "state": "OR",
            "postal_code": "975275500",
            "country_code": "US",
            "telephone_number": "541-956-4943",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "AMANDA",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-02",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L16788",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grants Pass, OR

Sources for this page

Verify at the official NPI Registry.