Amanda Walts, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

082080-1 Issued in NY

Practice address

233 S Albany St
Ithaca, NY 14850-5403

Phone

(607) 256-2030

NPI assigned

Jul 19, 2018

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

Other names 1

• Mandy Walts Other name

Medicare fee-for-service enrollment

Enrolled in NY

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, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1531958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788048000000",
    "number": "1245716562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 S ALBANY ST",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148505403",
            "telephone_number": "607-256-2030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 S ALBANY ST",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148505403",
            "telephone_number": "607-256-2030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTS",
        "first_name": "AMANDA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-19",
        "last_updated": "2026-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "082080-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MANDY",
            "last_name": "WALTS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Anthony Walrath, PHARMD
• Tammy Sue Walrath, PA
• Emily M Walsh, LCAT, ATR
• Brett James Walters
• Amy Louise Walton, LCSW MSW
• Cody Matthew Wamsley
• Elisa Marie Crystal Wang, MD
• Grace Wang
• Yuyan Wang, PH.D, L.AC.
• Brian Wansink, PHD

• Clinical Social Worker in Ithaca, NY
• Providers in Ithaca, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2026; 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.