Active NPI
Amanda Longmore, PLCSW PLMHP PCDGC
- Clinical Social Worker
- North Platte, NE
National Provider Identifier
1447092895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 8015
- Practice address
- 122 N Allen Ave
North Platte, NE 69101-4466 - Phone
- (308) 636-6284
- NPI assigned
- Jun 7, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 13855 | NE | |
| Clinical Social Worker | 1041C0700X | 8015 | NE | Primary |
Addresses
Primary practice location
122 N Allen Ave
North Platte, NE 69101-4466
Mailing address
122 N Allen Ave
North Platte, NE 69101-4466
Phone (308) 636-6284
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13855 | NE | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717977600000",
"number": "1447092895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 N ALLEN AVE",
"city": "NORTH PLATTE",
"state": "NE",
"postal_code": "691014466",
"telephone_number": "308-636-6284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122 N ALLEN AVE",
"city": "NORTH PLATTE",
"state": "NE",
"postal_code": "691014466",
"telephone_number": "308-636-6284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONGMORE",
"first_name": "AMANDA",
"credential": "PLCSW PLMHP PCDGC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-06-07",
"last_updated": "2024-06-10",
"certification_date": "2024-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "13855",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NE",
"license": "8015",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Platte, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.