Amanda Renae Kristian Ewing, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

61089047 Issued in WA

Practice address

15325 N Newport Hwy
Mead, WA 99021-9592

Phone

(360) 513-0550

NPI assigned

Nov 15, 2016

Last updated

May 13, 2025By 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

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective May 16, 2025 through May 16, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: maitrimentalhealth.amandaewing@143287.advancedmd-direct.com

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.

• Awakened Soul Counseling, PLLC

  • Clinical Social Worker
  • Mead, WA
  • NPI 1558152546
  NPD Authorized official

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

{
    "created_epoch": "1479168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1265974620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15325 N NEWPORT HWY",
            "city": "MEAD",
            "state": "WA",
            "postal_code": "990219592",
            "telephone_number": "360-513-0550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15325 N NEWPORT HWY",
            "city": "MEAD",
            "state": "WA",
            "postal_code": "990219592",
            "telephone_number": "360-513-0550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 N Howard St Ste R",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992010508",
            "country_code": "US",
            "telephone_number": "360-513-0550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EWING",
        "first_name": "AMANDA",
        "middle_name": "RENAE KRISTIAN",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-15",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "61089047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Marie Carter-Imsland, PHARMD
• Cascade Heights Recovery LLC
• Kelsey Lynne Cromer
• Sophia Helene Debroux, ARNP
• Katie Ernst, RD
• Ellen Ferderer
• Crystal Lynn Franks
• Kathryn Dianne Gasper, LICSW
• Great Grace Adult Family Home LLC
• Jeffrey Scott Hannah, DC

• Clinical Social Worker in Mead, WA
• Providers in Mead, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.