Amanda Taylor Edwards, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C008165 Issued in NC

Practice address

115 Atwood St
Sparta, NC 28675-9299

Phone

(336) 467-0489

Fax

(888) 507-3159

NPI assigned

Dec 20, 2011

Last updated

Feb 19, 2018By the provider in NPPES

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

Other names 1

• Amanda Taylor Poindexter Former name

Medicare fee-for-service enrollment

Enrolled in NC

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, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Capstone Wellness CenterGroup PAC ID 9133482383, 5 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.

• Capstone Wellness Center

  • Professional Counselor
  • Sparta, NC
  • NPI 1780008870

  Multi-Specialty

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1324339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518998400000",
    "number": "1235408246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 192",
            "city": "SPARTA",
            "state": "NC",
            "postal_code": "286750192",
            "telephone_number": "828-406-0918",
            "fax_number": "888-507-3159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 ATWOOD ST",
            "city": "SPARTA",
            "state": "NC",
            "postal_code": "286759299",
            "telephone_number": "336-467-0489",
            "fax_number": "888-507-3159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "AMANDA",
        "middle_name": "TAYLOR",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-20",
        "last_updated": "2018-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NC",
            "license": "C008165",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C008165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "POINDEXTER",
            "middle_name": "TAYLOR",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ftyna M Dearring, FNP-BC
• Mary Carol Digel, MD
• Monika Renee Dixon
• Amy K Douglas-Green, LCSW
• Easter Seals Ucp North Carolina & Virginia, Inc.
• Emcare Physician Providers, Inc.
• Families First
• Families First Home Health Care
• Laura Ashley Flowers, DDS
• G Terry Johnson DDS PA

• Clinical Social Worker in Sparta, NC
• Providers in Sparta, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2018; 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.