Individual provider Active NPI

Amanda McPheters, LCSW

  • Clinical Social Worker
  • Portland, ME
National Provider Identifier
1336514710
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC17139 Issued in ME
Practice address
106 Gilman St
Portland, ME 04102-3034
Phone
(207) 874-1080
Fax
(207) 874-1077
NPI assigned
Dec 10, 2015
Last updated
May 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2026

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 LC17139 ME Primary

Addresses

Primary practice location

106 Gilman St
Portland, ME 04102-3034

Mailing address

106 Gilman St
Portland, ME 04102-3034
Phone (207) 874-1080

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC17139MEMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1449705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778112000000",
    "number": "1336514710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 GILMAN ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041023034",
            "telephone_number": "207-874-1080",
            "fax_number": "207-874-1077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 GILMAN ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041023034",
            "telephone_number": "207-874-1080",
            "fax_number": "207-874-1077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCPHETERS",
        "first_name": "AMANDA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-10",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC17139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2026; 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.