Active NPI
Amanda Hartgrove, LGSW
- Clinical Social Worker
- Daphne, AL
National Provider Identifier
1376892158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 5062C
- Practice address
- 7400 Roper LN
Daphne, AL 36526-5274 - Phone
- (251) 378-6519
- Fax
- (251) 378-6563
- NPI assigned
- Sep 7, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 2634G | AL | |
| Clinical Social Worker | 1041C0700X | 5062C | AL | Primary |
Addresses
Primary practice location
7400 Roper LN
Daphne, AL 36526-5274
Mailing address
7400 Roper LN
Daphne, AL 36526-5274
Phone (251) 378-6519
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2634G | AL | MD | Social Worker |
| 5062C | AL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659571200000",
"number": "1376892158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7400 ROPER LN",
"city": "DAPHNE",
"state": "AL",
"postal_code": "365265274",
"telephone_number": "251-378-6519",
"fax_number": "251-378-6563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7400 ROPER LN",
"city": "DAPHNE",
"state": "AL",
"postal_code": "365265274",
"telephone_number": "251-378-6519",
"fax_number": "251-378-6563"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTGROVE",
"first_name": "AMANDA",
"name_prefix": "Mrs.",
"credential": "LGSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-07",
"last_updated": "2022-08-04",
"certification_date": "2022-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "AL",
"license": "2634G",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AL",
"license": "5062C",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Daphne, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.