Amanda Student, LCSW, DSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

085834 Issued in NY

Practice address

2 Woodlawn Rd
Latham, NY 12110-4223

Phone

(914) 774-6919

NPI assigned

Feb 12, 2019

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 identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: amandastudent@tdh.allscriptsdirect.net

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.

• Legacy LCSW Counseling Services PC

  • Clinical Social Worker
  • Clifton Park, NY
  • NPI 1396080339
  Medicare reassignment NPD
• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Clinical

  NPD

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

{
    "created_epoch": "1549929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607040000000",
    "number": "1245796580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 WOODLAWN RD",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121104223",
            "telephone_number": "914-774-6919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 WOODLAWN RD",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121104223",
            "telephone_number": "914-774-6919"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1229 Central Ave",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122055340",
            "country_code": "US",
            "telephone_number": "315-401-1104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STUDENT",
        "first_name": "AMANDA",
        "name_prefix": "Dr.",
        "credential": "LCSW, DSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-12",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "085834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1245796580",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Tuthill Straight, M.A. CCC-SLP
• Cathi Strain
• Jon Edward Streeter, RPA-C
• Matthew Thompson Stringer, D.O.
• Debra J Strohmaier, LOD
• Brendan Sullivan, PT
• Maureen Mary Sullivan, MSW, CSW-R
• Rodelin Mendoza Sumiran, FNP-BC
• Diane Sweeney, PT
• Kayleigh M Sweet

• Clinical Social Worker in Latham, NY
• Providers in Latham, 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 Dec 4, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.