Active NPI
Amanda Gayle Woolems, LMSW
- Social Worker
- Little Rock, AR
National Provider Identifier
1235655846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 8853M
- Practice address
- 2000 Aldersgate Rd
Little Rock, AR 72205-7018 - Phone
- (501) 906-4250
- NPI assigned
- Aug 15, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 8853M | AR | Primary |
Addresses
Primary practice location
2000 Aldersgate Rd
Little Rock, AR 72205-7018
Mailing address
1600 Aldersgate Rd Ste 200
Little Rock, AR 72205-6676
Other practice location 1
6210 Baseline Rd
Little Rock, AR 72209-4728
Phone (501) 265-0302
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8853M | AR | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Life Strategies Counseling, Inc. | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Adolescent and Children Mental Health Clinic/Center
- Pocahontas, AR
- NPI 1427656099
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697068800000",
"number": "1235655846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 ALDERSGATE RD STE 200",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722056676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 ALDERSGATE RD",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722057018",
"telephone_number": "501-906-4250"
}
],
"practiceLocations": [
{
"address_1": "6210 Baseline Rd",
"address_purpose": "LOCATION",
"city": "Little Rock",
"state": "AR",
"postal_code": "722094728",
"country_code": "US",
"telephone_number": "501-265-0302",
"fax_number": "501-265-0300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WOOLEMS",
"first_name": "AMANDA",
"middle_name": "GAYLE",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-15",
"last_updated": "2023-10-12",
"certification_date": "2023-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "AR",
"license": "8853M",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.