Amanda Marina Meyer, MSW, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW60329141 Issued in WA

Practice address

400 108TH Ave NE
Suite 402
Bellevue, WA 98004-5562

Phone

(425) 454-1199

Fax

(425) 454-8779

NPI assigned

Mar 28, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Mandy Meyer Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Thira Health

  • Adult Mental Health Clinic/Center
  • Bellevue, WA
  • NPI 1720483480
  NPD (past)

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

{
    "created_epoch": "1364428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479859200000",
    "number": "1275876237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 108TH AVE NE",
            "address_2": "SUITE 402",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980045562",
            "telephone_number": "425-454-1199",
            "fax_number": "425-454-8779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 108TH AVE NE",
            "address_2": "SUITE 402",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980045562",
            "telephone_number": "425-454-1199",
            "fax_number": "425-454-8779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "AMANDA",
        "middle_name": "MARINA",
        "name_prefix": "Ms.",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-28",
        "last_updated": "2016-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WA",
            "license": "LW60329141",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60329141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MANDY",
            "last_name": "MEYER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Metroliance Foot and Ankle Group
• Metroliance Foot and Ankle Group
• Metropolitan Anesthesia Group
• Naoko Metz, MA, LPCC, LMHC
• Stephanie Meya, PT
• Lacee Meyer, ARNP
• Sarah Emily Meyer
• Marsha Marie Meyers, L.I.C.S.W.
• William Alexander Meyert, DPT
• Mhe Investments

• Clinical Social Worker in Bellevue, WA
• Providers in Bellevue, 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 Nov 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.