Amanda Helen Deselding, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904013840 Issued in VA

Practice address

850 Tidewater Dr
Norfolk, VA 23504-3300

Phone

(757) 333-6992

NPI assigned

May 6, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Amanda Helen Deselding Other name

Medicare fee-for-service enrollment

Enrolled in VA

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, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wishing Well Counseling Center, PLLCGroup PAC ID 7113311424, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Wishing Well Counseling Center, PLLC

  • Mental Health Counselor
  • Suffolk, VA
  • NPI 1689042780
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1651795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651795200000",
    "number": "1316683014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 STREAMSIDE CT",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233222122",
            "telephone_number": "757-652-0448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 TIDEWATER DR",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235043300",
            "telephone_number": "757-333-6992"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "802 Streamside Ct",
            "address_purpose": "LOCATION",
            "city": "Chesapeake",
            "state": "VA",
            "postal_code": "233222122",
            "country_code": "US",
            "telephone_number": "757-652-0448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DESELDING",
        "first_name": "AMANDA",
        "middle_name": "HELEN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-06",
        "last_updated": "2022-05-06",
        "certification_date": "2022-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904013840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "DESELDING",
            "middle_name": "HELEN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Craig S. Derkay, M.D.
• Jennifer S Derugen, LM CPM
• Joann Webber Dervay, MD
• Allison Dery, PHARMD
• Ruhani Pratap Desai
• Deepak Deshmukh, D.O.
• Marc Carleton Desolminihac, MD
• Destiny Home Health Care, LLC
• Jennie Rebecca Desy, M.S., CCC-A
• Detriot Health Supplies

• Clinical Social Worker in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2022; 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.