Individual provider Active NPI

Amanda J Pryor, LCSW

  • Clinical Social Worker
  • Linton, IN
National Provider Identifier
1396087920
Registry record updated Nov 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34007346A Issued in IN
Practice address
1200 N. 1000 W
Linton, IN 47441-0553
Phone
(812) 847-4435
Fax
(812) 847-8297
NPI assigned
Mar 21, 2013
Last updated
Nov 23, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2015

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 34007346A IN Primary

Addresses

Primary practice location

1200 N. 1000 W
Linton, IN 47441-0553

Mailing address

PO Box 4323
Terre Haute, IN 47804-1034
Phone (812) 231-8200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20150930000092 IN Practitioner - Clinical Social Worker 2961710660 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hamilton Center, Inc. CurrentSince Nov 16, 2015 Accepting new patients
Hamilton Center Inc. CurrentSince Nov 16, 2015 Accepting new patients
Hamilton Center, Inc. Past Accepting new patients

Locations

1200 N 1000 W
Linton, IN 47441
Phone (812) 847-4435

620 8th Ave
Terre Haute, IN 47804
Phone (812) 231-8200

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": "1363824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448236800000",
    "number": "1396087920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4323",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478041034",
            "telephone_number": "812-231-8200",
            "fax_number": "812-231-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N. 1000 W",
            "city": "LINTON",
            "state": "IN",
            "postal_code": "474410553",
            "telephone_number": "812-847-4435",
            "fax_number": "812-847-8297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRYOR",
        "first_name": "AMANDA",
        "middle_name": "J",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-21",
        "last_updated": "2015-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34007346A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Linton, IN

Sources for this page

Verify at the official NPI Registry.