Active NPI
Amanda Rae Campos, LMSW
- Social Worker
- Lafayette, LA
National Provider Identifier
1487400685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 18065
- Practice address
- 107 Global Cir Ste 207
Lafayette, LA 70503-5319 - Phone
- (337) 359-2445
- NPI assigned
- Apr 29, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 18065 | LA | Primary |
Addresses
Primary practice location
107 Global Cir Ste 207
Lafayette, LA 70503-5319
Mailing address
712 W Bonaire Dr
Lafayette, LA 70506-6625
Phone (337) 412-7130
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 |
|---|---|---|---|
| 18065 | LA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Natalie Bunner Psychotherapy and Consulting | Current | Accepting new patients |
Locations
107 Global Cir
Ste 207
Lafayette, LA 70503
Phone (337) 359-2445
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.
-
- Clinical Social Worker
- Lafayette, LA
- NPI 1558070268
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714348800000",
"number": "1487400685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "712 W BONAIRE DR",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705066625",
"telephone_number": "337-412-7130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 GLOBAL CIR STE 207",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705035319",
"telephone_number": "337-359-2445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPOS",
"first_name": "AMANDA",
"middle_name": "RAE",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-04-29",
"last_updated": "2024-04-29",
"certification_date": "2024-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "LA",
"license": "18065",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.