Active NPI
Amanda Baker McKeigney-Childs, LCSW
- Clinical Social Worker
- Rogers, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6599-C
- Practice address
- 204 S 24TH St
Rogers, AR 72758 - Phone
- (479) 621-0301
- NPI assigned
- Mar 30, 2007
- Last updated
- Jun 24, 2018
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | PLMSW | AR | |
| Clinical Social Worker | 1041C0700X | 6599-C | AR | Primary |
| Case Manager/Care Coordinator | 171M00000X | AR | ||
| Case Manager/Care Coordinator | 171M00000X | NU |
Addresses
Primary practice location
204 S 24TH St
Rogers, AR 72758
Mailing address
401 N 8TH St # 997
Rogers, AR 72756-3761
Phone (479) 274-8271
Other practice location 1
2003 SE Walton Blvd
Bentonville, AR 72712-3725
Phone (479) 464-8081
Other practice location 2
1803 SW Regional Airport Blvd Ste 5
Bentonville, AR 72712-8792
Phone (479) 876-8626
Other names 1
- Amanda Childs
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 |
|---|---|---|---|
| 6599-C | AR | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PT Concepts, PLLC | Past | Accepting new patients | |
| John L. Shasteen LLC | Clinical | Past | Accepting new patients |
| Shared Families of Northwest Arkansas L.L.C. | Clinical | Past | Accepting new patients |
| Conway County Community Service Inc. | Past | Accepting new patients | |
| Ask Wellness Center,LLC | Clinical | Past | Accepting new patients |
Organizations & group practices 5
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.
-
- Clinical Social Worker
- Bentonville, AR
- NPI 1972967412
-
- Community/Behavioral Health Agency
- Morrilton, AR
- NPI 1770631467
-
- Clinical Social Worker
- Bentonville, AR
- NPI 1265892087
-
dba Waters Edge Counseling Play Therapy and Training
- Mental Health Counselor
- Rogers, AR
- NPI 1164931291
-
- Clinical Social Worker
- Rogers, AR
- NPI 1679196992
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529798400000",
"number": "1407976632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 N 8TH ST # 997",
"city": "ROGERS",
"state": "AR",
"postal_code": "727563761",
"telephone_number": "479-274-8271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 S 24TH ST",
"city": "ROGERS",
"state": "AR",
"postal_code": "72758",
"telephone_number": "479-621-0301"
}
],
"practiceLocations": [
{
"address_1": "2003 SE Walton Blvd",
"address_purpose": "LOCATION",
"city": "Bentonville",
"state": "AR",
"postal_code": "727123725",
"country_code": "US",
"telephone_number": "479-464-8081",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1803 SW Regional Airport Blvd Ste 5",
"address_purpose": "LOCATION",
"city": "Bentonville",
"state": "AR",
"postal_code": "727128792",
"country_code": "US",
"telephone_number": "479-876-8626",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCKEIGNEY-CHILDS",
"first_name": "AMANDA",
"middle_name": "BAKER",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-30",
"last_updated": "2018-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "AR",
"license": "PLMSW",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AR",
"license": "6599-C",
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "AR",
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMANDA",
"last_name": "CHILDS",
"credential": "LCSW",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Rogers, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.