Amanda Courtney, LSW MSW CMHT
Individual provider Active NPI Social Worker · Wesson, MS
NPI 1336726900 · NPPES record last updated Oct 24, 2025
Key facts
- NPI
- 1336726900
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 150115781 (IL)
- Practice address
- 3049 Refuge LN NE
Wesson, MS 39191-6201 - Phone
- (601) 259-0623
- NPI assigned
- Mar 28, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH4289 | MS | MD | Mental Health Counselor |
| 150115781 | IL | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 150115781 | IL | Yes |
| Mental Health Counselor | 101YM0800X | PH4289 | MS |
Addresses
Primary practice location
3049 Refuge LN NE
Wesson, MS 39191-6201
Mailing address
3049 Refuge LN NE
Wesson, MS 39191-6201
Other practice location 1
3049 Refuge Ln NE
Wesson, MS 39191-6201
Phone (601) 259-0623
Other providers in Wesson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 24, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.