NPIMap

Individual provider Active NPI

Amanda Borbonus, LMSW

  • Clinical Social Worker
  • Lansing, MI
National Provider Identifier
1295254100
Registry record updated Nov 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801110618 Issued in MI
Practice address
126 W. Grand River Suite B
Lansing, MI 48906
Phone
(517) 526-3787
NPI assigned
Sep 12, 2017
Sex
Female
Sole proprietor
Yes

Organizations & group practices 25

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Edward W Sparrow Hospital Association 698 clinicians

Practice addresses (Care Compare)

13191 Schavey Rd
Suite 3
Dewitt, MI 48820-9036
Phone (517) 669-9109

Hospital & facility affiliations

  • Edward W Sparrow Hospital Hospital, Lansing, MI, CCN 230230
  • University of Michigan Health- Sparrow Clinton Hospital, Saint Johns, MI, CCN 231326

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20241023000205 MI Practitioner - Clinical Social Worker 3375076896 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sparrow Clinton Hospital Current Accepting new patients
Edward W Sparrow Hospital Association Clinical CurrentSince Aug 11, 2024 Accepting new patients
Edward W. Sparrow Hospital Association Current Accepting new patients
Sparrow Clinton Hospital CurrentSince Aug 11, 2024 Accepting new patients
Edward W. Sparrow Hospital Association CurrentSince Aug 11, 2024 Accepting new patients
Beeloved Counseling Clinical PastSince Apr 17, 2020 Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

13191 Schavey Rd
Ste 3
Dewitt, MI 48820
Phone (517) 669-9109

1210 W Saginaw St
Fl 2
Lansing, MI 48915
Phone (517) 364-7575

1457 N M 52
Ste 1
Owosso, MI 48867
Phone (989) 723-8463

901 S Oakland St
Ste 201
Saint Johns, MI 48879
Phone (989) 224-2338

901 S Oakland St
Saint Johns, MI 48879
Phone (517) 227-2338

805 S Oakland St
Saint Johns, MI 48879
Phone (989) 224-6881

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801110618 MI Primary

Addresses

NPPES NPI Registry

Primary practice location

126 W. Grand River Suite B
Lansing, MI 48906

Mailing address

1200 N West Ave
Jackson, MI 49202-2179

Other practice location 1

1200 North West Ave
Jackson, MI 49202
Phone (517) 789-1234

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 1, 2021.

{
    "created_epoch": "1505174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635724800000",
    "number": "1295254100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N WEST AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492022179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 W. GRAND RIVER SUITE B",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "48906",
            "telephone_number": "517-526-3787"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 North West Ave",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MI",
            "postal_code": "49202",
            "country_code": "US",
            "telephone_number": "517-789-1234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BORBONUS",
        "first_name": "AMANDA",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-12",
        "last_updated": "2021-11-01",
        "certification_date": "2021-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801110618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.