Individual provider Active NPI

Amanda Renee' Gayle, LCSW

  • Clinical Social Worker
  • Cedar Park, TX
National Provider Identifier
1477201614
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
65398 Issued in TX
Practice address
12151 W Parmer LN Ste 202
Cedar Park, TX 78613-2171
Phone
(512) 593-7070
NPI assigned
Mar 16, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 65398 TX Primary

Addresses

Primary practice location

12151 W Parmer LN Ste 202
Cedar Park, TX 78613-2171

Mailing address

12151 W Parmer LN Ste 202
Cedar Park, TX 78613-2171
Phone (512) 593-7070

Other names 1

  • Amanda Renee' Styler Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20220711001131 TX Practitioner - Clinical Social Worker 0143600981 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Staats Psychiatric Services PLLCGroup PAC ID 8921346792, 9 clinicians

Practice addresses (Care Compare)

12151 W Parmer LN
Cedar Park, TX 78613-2171
Phone (512) 593-7070

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
65398TXMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Neuropsychiatry Association PLLC CurrentSince Jun 1, 2026 Accepting new patients
Staats Psychiatric Services PLLC CurrentSince May 1, 2022 Accepting new patients

Locations

12151 W Parmer Ln
Ste 202
Cedar Park, TX 78613
Phone (512) 593-7070

Organizations & group practices 2

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": "1647388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1477201614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12151 W PARMER LN STE 202",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132171",
            "telephone_number": "512-593-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12151 W PARMER LN STE 202",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132171",
            "telephone_number": "512-593-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAYLE",
        "first_name": "AMANDA",
        "middle_name": "RENEE'",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-16",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "65398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "STYLER",
            "middle_name": "RENEE'",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cedar Park, TX

Sources for this page

Verify at the official NPI Registry.