Amanda McMahan, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.020359 Issued in IL

Practice address

321 W Maple St
New Lenox, IL 60451-1624

Phone

(708) 675-9247

NPI assigned

Jun 4, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1622764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622764800000",
    "number": "1467029942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24421 SHAWNEE LN",
            "city": "MANHATTAN",
            "state": "IL",
            "postal_code": "604421428",
            "telephone_number": "708-675-9247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 W MAPLE ST",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604511624",
            "telephone_number": "708-675-9247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMAHAN",
        "first_name": "AMANDA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-04",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.020359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brendan McGraw, D.M.D.
• Caitlyn Ann McGrory, RDN, LDN
• Danny L McGuire Jr.
• Jarryd Edward McGuire, PMHNP-BC
• Stephanie McKenzie
• Blake McNamara
• MD Health Group LLC
• Michael Robert Mecozzi, PSY.D.
• Brianna Medema, M.S. CCC-SLP
• Medical Mind Clarity Inc

• Clinical Social Worker in New Lenox, IL
• Providers in New Lenox, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.