Amanda Keith, CSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

59517 Issued in TX

Practice address

100 Chestnut St
Ste 101
Abilene, TX 79602-1440

Phone

(325) 676-8963

NPI assigned

May 28, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1527465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575936000000",
    "number": "1255822029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1671 COVEY LN",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796055470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CHESTNUT ST",
            "address_2": "STE 101",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796021440",
            "telephone_number": "325-676-8963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEITH",
        "first_name": "AMANDA",
        "credential": "CSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-28",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "59517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rupinder Pal Kaur, D.O.
• KCBS Ventures, LLC
• Julia Kean
• Amie Melissa Keawmanee, FNP-C
• William Ritchie Keeble III, P.T.
• Brenda S Keith, RNFA
• Kinsey Brook Keith
• Hayden Keller, DPT
• Kimberly Keller
• Walt Kelley, M.D.

• Clinical Social Worker in Abilene, TX
• Providers in Abilene, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2019; 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.