Amanda Michelle Haidet, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

44SC05875600 Issued in NJ

Practice address

2301 E Evesham Rd Ste 108
Voorhees, NJ 08043-4502

Phone

(954) 805-8615

NPI assigned

Sep 2, 2019

Last updated

Aug 5, 2024By the provider in NPPES

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

Enrolled in NJ

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

Specialty

Clinical Social Worker

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

A Brighter Tomorrow Wellness CenterGroup PAC ID 8224466776, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• A Brighter Tomorrow Wellness Center

  • Social Worker
  • Voorhees, NJ
  • NPI 1295365765
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1567382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1275181380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1236 BRACE RD STE K-I",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080343229",
            "telephone_number": "954-805-8615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 E EVESHAM RD STE 108",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434502",
            "telephone_number": "954-805-8615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAIDET",
        "first_name": "AMANDA",
        "middle_name": "MICHELLE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-02",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SC05875600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Louis C Haenel III, D.O.
• Alexandre Hageboutros, MD
• Alyssa Hagenbucher, AGNP-C
• George Hager, M.D.
• Yang Hai, MD
• Gabriella Haines, PA-C
• Jennifer Marie Hale, CNM
• Isaac J Halickman, MD
• Aimee Hall
• Leangelo N Hall, M.D.

• Social Worker in Voorhees, NJ
• Providers in Voorhees, NJ by specialty
• Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.