Amanda Grier Poole, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

006084 Issued in CT

Practice address

2 Benedict PL
Greenwich, CT 06830-5358

Phone

(917) 302-5455

NPI assigned

May 2, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1241222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241222400000",
    "number": "1487888632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 LAFAYETTE CT APT 6D",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068305304",
            "telephone_number": "917-302-5455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 BENEDICT PL",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068305358",
            "telephone_number": "917-302-5455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POOLE",
        "first_name": "AMANDA",
        "middle_name": "GRIER",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-02",
        "last_updated": "2009-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "006084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "006084",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Plastic Surgery Practice of Connecticut
• Christine M Podber, LPC
• Podiatric Medicine and Surgery of Fairfield County
• Eileen Heaney Polito, LCSW
• Joshua C Pollack, M.D.
• Collin Popp
• Jaclyn Suzanne Porco
• Nicole L Porter, PA-C
• William S Potter, MD
• Courtney Powers, MS, OT

• Clinical Social Worker in Greenwich, CT
• Providers in Greenwich, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2009; 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.