Amandia Speakes-Lewis, LCSW-R, PHD

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

055205R Issued in NY

Practice address

121 N Central Ave
Valley Stream, NY 11580-3822

Phone

(516) 341-7094

Fax

(516) 515-7405

NPI assigned

May 17, 2007

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Todd J Bragin MDPC

  • Ophthalmology Physician
  • Lynbrook, NY
  • NPI 1871818666
  NPD (past)

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417219200000",
    "number": "1295942241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 311",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115820311",
            "telephone_number": "516-341-7094",
            "fax_number": "516-515-7405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 N CENTRAL AVE",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115803822",
            "telephone_number": "516-341-7094",
            "fax_number": "516-515-7405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEAKES-LEWIS",
        "first_name": "AMANDIA",
        "name_prefix": "Dr.",
        "credential": "LCSW-R, PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2014-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "055205R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Shore Diagnostics, Inc.
• South Shore Opticians Inc
• Southwest Medical Imaging, PC
• Southwest Nassau Radiology, PC
• Alexa Jade Sparacio, PA
• Speaking of Speech Services
• Speech Master'S Inc
• Maureen Spence Campbell, DPT
• April Marie Spence
• Robert Sperber, MD

• Clinical Social Worker in Valley Stream, NY
• Providers in Valley Stream, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2014; 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.