Active NPI
Amanda Juza-Hamrick, LCSW
- Clinical Social Worker
- Redmond, OR
National Provider Identifier
1457718421
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- L7590
- Practice address
- 818 SW Forest Ave
Redmond, OR 97756-2737 - Phone
- (541) 293-3039
- NPI assigned
- Jan 21, 2016
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | |||
| Clinical Social Worker | 1041C0700X | L7590 | OR | Primary |
Addresses
Primary practice location
818 SW Forest Ave
Redmond, OR 97756-2737
Mailing address
8114 SW Pokegama Dr
Powell Butte, OR 97753-1564
Phone (541) 668-1692
Other practice location 1
8114 SW Pokegama Dr
Powell Butte, OR 97753-1564
Phone (541) 293-3039
Other practice location 2
61396 S Hwy 97
Bend, OR 97702-2157
Phone (541) 293-3039
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 |
|---|---|---|---|
| L7590 | OR | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrative Mind Body Psychotherapy LLC | Current | Accepting new patients |
Locations
818 SW Forest Ave
Ste B
Redmond, OR 97756
Phone (541) 293-3039
Organizations & group practices 1
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.
-
- Adult Mental Health Clinic/Center
- Redmond, OR
- NPI 1699593483
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730764800000",
"number": "1457718421",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8114 SW POKEGAMA DR",
"city": "POWELL BUTTE",
"state": "OR",
"postal_code": "977531564",
"telephone_number": "541-668-1692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "818 SW FOREST AVE",
"city": "REDMOND",
"state": "OR",
"postal_code": "977562737",
"telephone_number": "541-293-3039"
}
],
"practiceLocations": [
{
"address_1": "8114 SW Pokegama Dr",
"address_purpose": "LOCATION",
"city": "Powell Butte",
"state": "OR",
"postal_code": "977531564",
"country_code": "US",
"telephone_number": "541-293-3039",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "61396 S Hwy 97",
"address_purpose": "LOCATION",
"city": "Bend",
"state": "OR",
"postal_code": "977022157",
"country_code": "US",
"telephone_number": "541-293-3039",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JUZA-HAMRICK",
"first_name": "AMANDA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-21",
"last_updated": "2024-11-05",
"certification_date": "2024-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "L7590",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redmond, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.