Susan Marie Amaral, LSW

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

LSW-26231 Issued in ID

Practice address

2120 N Lakewood Dr Ste B
Coeur D Alene, ID 83814-2638

Phone

(208) 667-3179

Fax

(208) 667-5938

NPI assigned

Nov 15, 2012

Sex

Female

Sole proprietor

No

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.

• North Idaho College

  • Contractor
  • Coeur D Alene, ID
  • NPI 1457696551

  Case Manager/Care Coordinator

  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 15, 2012.

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352937600000",
    "number": "1467796540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 N LAKEWOOD DR STE B",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142638",
            "telephone_number": "208-667-3179",
            "fax_number": "208-667-5938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 N LAKEWOOD DR STE B",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142638",
            "telephone_number": "208-667-3179",
            "fax_number": "208-667-5938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMARAL",
        "first_name": "SUSAN",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-15",
        "last_updated": "2012-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "ID",
            "license": "LSW-26231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL WORKER",
            "identifier": "1041000000X",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alternative Community Enrichment Services, Inc.
• Alternative Community Enrichment Services, Inc.
• Alternative Community Enrichment Services, Inc.
• Alternative Community Enrichment Services, Inc.
• Melissa Alton, LCSW
• Amaris Behavioral Health LLC
• Ambitions of Idaho Inc
• Ambitions of Idaho Inc
• Ambitions of Idaho, Inc
• Ambitions of Idaho, Inc.

• All providers in Coeur D Alene, ID
• Case Manager/Care Coordinator in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; 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.