Individual provider Active NPI

Amanda M Phillips, LICSW

  • Clinical Social Worker
  • Alabaster, AL
National Provider Identifier
1285835124
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3645C Issued in AL
Practice address
209 Park Forest Ter
Alabaster, AL 35007-7703
Phone
(205) 447-9402
NPI assigned
May 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 3645C AL Primary
Counselor 101Y00000X
Clinical Social Worker 1041C0700X 119743 IA

Addresses

Primary practice location

209 Park Forest Ter
Alabaster, AL 35007-7703

Mailing address

400 Vestavia Pkwy Ste 406
Vestavia, AL 35216-3763
Phone (205) 778-8300

Other practice location 1

400 Vestavia Pkwy Ste 406
Vestavia, AL 35216-3763
Phone (205) 778-8300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3645CALMDClinical Social Worker
119743IAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1285835124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 VESTAVIA PKWY STE 406",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352163763",
            "telephone_number": "205-778-8300",
            "fax_number": "659-208-2752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 PARK FOREST TER",
            "city": "ALABASTER",
            "state": "AL",
            "postal_code": "350077703",
            "telephone_number": "205-447-9402"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Vestavia Pkwy Ste 406",
            "address_purpose": "LOCATION",
            "city": "Vestavia",
            "state": "AL",
            "postal_code": "352163763",
            "country_code": "US",
            "telephone_number": "205-778-8300",
            "fax_number": "659-208-2752",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "AMANDA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-29",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "3645C",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "119743",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alabaster, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; 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.