Individual provider Active NPI

Amanda Kae Nore McLean, MSW, CMHS

  • Social Worker
  • Kennewick, WA
National Provider Identifier
1417423112
Registry record updated Jan 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LW60940913 Issued in WA
Practice address
3900 S Zintel Way FL 2
Kennewick, WA 99337-5092
Phone
(509) 942-3125
Fax
(509) 585-8173
NPI assigned
Oct 19, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Social Worker 104100000X LW60940913 WA Primary

Addresses

Primary practice location

3900 S Zintel Way FL 2
Kennewick, WA 99337-5092

Mailing address

550 Gage Blvd Ste 101
Richland, WA 99352-9532
Phone (509) 942-3627

Other practice location 1

3321 W Kennewick Ave Ste 150
Kennewick, WA 99336-2968
Phone (509) 735-6446

Other names 1

  • Miss Amanda Kae Nore Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20200204002591 WA Practitioner - Clinical Social Worker 4082040357 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kadlec Regional Medical CenterGroup PAC ID 9739098617, 402 clinicians

Practice addresses (Care Compare)

1135 Jadwin Ave
Richland, WA 99352-3434
Phone (509) 942-3300

3900 S Zintel Way
Suite 110
Kennewick, WA 99337-5092
Phone (509) 942-3125

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kadlec Regional Medical Center CurrentSince Jan 12, 2020 Accepting new patients
Kadlec Regional Medical Center CurrentSince Nov 15, 2019 Accepting new patients
Kadlec Regional Medical Center CurrentSince Nov 15, 2019 Accepting new patients

Locations

3900 S Zintel Way
Fl 2
Kennewick, WA 99337
Phone (509) 942-3125

888 Swift Blvd
Richland, WA 99352
Phone (509) 942-2115

1135 Jadwin Ave
Richland, WA 99352
Phone (509) 942-3300

550 Gage Blvd
Ste 101
Richland, WA 99352

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1539907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578528000000",
    "number": "1417423112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 GAGE BLVD STE 101",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993529532",
            "telephone_number": "509-942-3627",
            "fax_number": "509-627-2983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 S ZINTEL WAY FL 2",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993375092",
            "telephone_number": "509-942-3125",
            "fax_number": "509-585-8173"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3321 W Kennewick Ave Ste 150",
            "address_purpose": "LOCATION",
            "city": "Kennewick",
            "state": "WA",
            "postal_code": "993362968",
            "country_code": "US",
            "telephone_number": "509-735-6446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCLEAN",
        "first_name": "AMANDA",
        "middle_name": "KAE NORE",
        "name_prefix": "Mrs.",
        "credential": "MSW, CMHS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-19",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WA",
            "license": "LW60940913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "NORE",
            "middle_name": "KAE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kennewick, WA

Sources for this page

Verify at the official NPI Registry.