Individual provider Active NPI

Amanda McGlumphy, MSW, LISW-S

  • Clinical Social Worker
  • Old Washington, OH
National Provider Identifier
1356607378
Registry record updated May 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I0000401 Issued in OH
Practice address
239A Old National Rd
Old Washington, OH 43768-0094
Phone
(740) 489-5571
Fax
(740) 489-5004
NPI assigned
Apr 3, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2016

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 I0000401 OH Primary

Addresses

Primary practice location

239A Old National Rd
Old Washington, OH 43768-0094

Mailing address

PO Box 94
Old Washington, OH 43768-0094
Phone (740) 260-9440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20151221002241 OH Practitioner - Clinical Social Worker 6406157205 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I0000401OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Ohio Counseling Center, LLC. CurrentSince Aug 30, 2020 Accepting new patients
Southeastern Ohio Counseling Center, LLC. CurrentSince Dec 1, 2015 Accepting new patients

Locations

239A Old National Rd
Old Washington, OH 43768
Phone (740) 489-5571

Interoperability endpoints

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

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1333411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463961600000",
    "number": "1356607378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 94",
            "city": "OLD WASHINGTON",
            "state": "OH",
            "postal_code": "437680094",
            "telephone_number": "740-260-9440",
            "fax_number": "740-489-5004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239A OLD NATIONAL RD",
            "city": "OLD WASHINGTON",
            "state": "OH",
            "postal_code": "437680094",
            "telephone_number": "740-489-5571",
            "fax_number": "740-489-5004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGLUMPHY",
        "first_name": "AMANDA",
        "credential": "MSW, LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-03",
        "last_updated": "2016-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I0000401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Washington, OH

Sources for this page

Verify at the official NPI Registry.