Individual provider Active NPI

Amanda Paige Lifsey, LCSW

  • Clinical Social Worker
  • Dresden, TN
National Provider Identifier
1326476185
Registry record updated Mar 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6194 Issued in TN
Practice address
8598 Highway 22
Dresden, TN 38225-2308
Phone
(731) 364-5675
Fax
(731) 364-2870
NPI assigned
Oct 14, 2013
Last updated
Mar 6, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6194 TN Primary

Addresses

Primary practice location

8598 Highway 22
Dresden, TN 38225-2308

Mailing address

8598 Highway 22
Dresden, TN 38225-2308
Phone (731) 364-5675

Other identifiers 1

IdentifierTypeStateIssuer
Q017488MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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

Enrollment IDStateProvider typePAC IDDetails
I20150721000916 TN Practitioner - Clinical Social Worker 0143533075 Reassigns benefits to 3 organizations
Practice locations: MC Kenzie, TN

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

5736 Manchester Hwy
Morrison, TN 37357-7503
Phone (931) 815-3871

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Generations Health Association, Inc. CurrentSince Jun 17, 2015 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Jan 18, 2024 Accepting new patients
Carey Counseling Center, Inc. CurrentSince Jul 1, 2015 Accepting new patients

Locations

8598 Highway 22
Dresden, TN 38225
Phone (731) 364-5675

19410 Main St W
Huntingdon, TN 38344
Phone (731) 986-4411

5736 Manchester Hwy
Morrison, TN 37357
Phone (931) 815-3871

40 Burton Hills Blvd
Ste 200
Nashville, TN 37215
Phone (615) 257-8410

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/careycounselingcenter/r4/

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1381708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551830400000",
    "number": "1326476185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8598 HIGHWAY 22",
            "city": "DRESDEN",
            "state": "TN",
            "postal_code": "382252308",
            "telephone_number": "731-364-5675",
            "fax_number": "731-364-2870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8598 HIGHWAY 22",
            "city": "DRESDEN",
            "state": "TN",
            "postal_code": "382252308",
            "telephone_number": "731-364-5675",
            "fax_number": "731-364-2870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIFSEY",
        "first_name": "AMANDA",
        "middle_name": "PAIGE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-14",
        "last_updated": "2019-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "6194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q017488",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dresden, TN

Sources for this page

Verify at the official NPI Registry.