Individual provider Active NPI

Amanda Sue Watkins, LCSW

  • Clinical Social Worker
  • Colorado Springs, CO
National Provider Identifier
1275179442
Registry record updated Nov 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09926369 Issued in CO
Practice address
7665 Assisi HTS
Colorado Springs, CO 80919-3837
Phone
(719) 955-7008
Fax
(719) 598-0346
NPI assigned
Nov 22, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW.09926369 CO Primary

Addresses

Primary practice location

7665 Assisi HTS
Colorado Springs, CO 80919-3837

Mailing address

7665 Assisi HTS
Colorado Springs, CO 80919-3837
Phone (719) 955-7008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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

Enrollment IDStateProvider typePAC IDDetails
I20191211000615 CO Practitioner - Clinical Social Worker 9032542717 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

Practice addresses (Care Compare)

720 S Colorado Blvd
PH North
Denver, CO 80246-1904
Phone (844) 843-7279

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Community Counseling, Inc. Clinical CurrentSince Feb 7, 2021 Accepting new patients
Sondermind Provider Network LLC Clinical CurrentSince Feb 9, 2021 Accepting new patients

Locations

7665 Assisi Hts
Colorado Springs, CO 80919
Phone (719) 598-5486

957 E Colorado Ave
Colorado Springs, CO 80903
Phone (719) 955-7008

720 S Colorado Blvd
Ph N
Glendale, CO 80246
Phone (833) 988-0589

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1574380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574380800000",
    "number": "1275179442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7665 ASSISI HTS",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809193837",
            "telephone_number": "719-955-7008",
            "fax_number": "719-598-0346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7665 ASSISI HTS",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809193837",
            "telephone_number": "719-955-7008",
            "fax_number": "719-598-0346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "AMANDA",
        "middle_name": "SUE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-22",
        "last_updated": "2019-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09926369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.