Amanda Shultes, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

095311 Issued in NY

Practice address

1100 Long Pond Rd Ste 222
Greece, NY 14626-1177

Phone

(585) 385-6030

NPI assigned

Apr 7, 2021

Last updated

Dec 16, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

State licenses

Practice roles

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.

• Agape Counseling Associates Inc

  • Clinical Social Worker
  • Penfield, NY
  • NPI 1174657712
  NPD (past)

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

{
    "created_epoch": "1617753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702684800000",
    "number": "1245819143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 LONG POND RD STE 222",
            "city": "GREECE",
            "state": "NY",
            "postal_code": "146261177",
            "telephone_number": "585-385-6030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 LONG POND RD STE 222",
            "city": "GREECE",
            "state": "NY",
            "postal_code": "146261177",
            "telephone_number": "585-385-6030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHULTES",
        "first_name": "AMANDA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-07",
        "last_updated": "2023-12-16",
        "certification_date": "2023-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "095311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rochester Medicine, PLLC (Pulse Occupational Medicine of Rochester)
• Rochester RX Inc (Rochester Specialty Pharmacy)
• Royale Transportation
• Ulfat Shafiq, DMD
• Susan Ann Shick, R..N
• Kimberly Strong
• TC Greece Pediatric Dentistry PLLC
• Tops Markets LLC (Tops Pharmacy)
• Ashellee E Toweh, LCSW
• Colleen Marie Varney

• Social Worker in Greece, NY
• Providers in Greece, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2023; 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.