Organization Active NPI

Amanda M Lewis Professional LLC

Doing business as Rock Creek Associates

  • Clinical Social Worker
  • Billings, MT
National Provider Identifier
1497073779
Registry record updated Feb 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
930 Issued in MT
Legal business name
AMANDA M LEWIS PROFESSIONAL LLC
Doing business as
Rock Creek Associates
Practice address
304 Grand Ave
Billings, MT 59101-5923
Phone
(406) 671-8567
Fax
(888) 516-4496
NPI assigned
May 11, 2010
Last updated
Feb 9, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2022

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

Authorized official

Name
Amanda M Lewis, LCSWNPI 1972736957
Title
Owner
Phone
(406) 671-8567

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 930 MT Primary

Addresses

Primary practice location

304 Grand Ave
Billings, MT 59101-5923

Mailing address

PO Box 443
Joliet, MT 59041-0443
Phone (406) 671-8567

Other names 1

  • Rock Creek Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101015000435 MT Part B Supplier - Clinic/Group Practice 2365635927 Receives reassigned benefits from 1 practitioner
Practice locations: Billings, MT

National Provider Directory

National Provider Directory

Locations

2475 Village Ln
Ste 102
Billings, MT 59102
Phone (406) 839-3804

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1273536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644364800000",
    "number": "1497073779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 443",
            "city": "JOLIET",
            "state": "MT",
            "postal_code": "590410443",
            "telephone_number": "406-671-8567",
            "fax_number": "888-516-4496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 GRAND AVE",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591015923",
            "telephone_number": "406-671-8567",
            "fax_number": "888-516-4496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMANDA M LEWIS PROFESSIONAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-11",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-671-8567",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rock Creek Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rock Creek Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Billings, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.