NPIMap

Individual provider Active NPI

Amanda Sue Gageby, LSW

  • Social Worker
  • Martinsburg, WV
National Provider Identifier
1497357222
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
AP00943246 Issued in NU
Practice address
208 Old Mill Rd
Martinsburg, WV 25401-9219
Phone
(304) 263-5680
Fax
(304) 267-1532
NPI assigned
Nov 16, 2020
Last updated
Dec 4, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X AP00943246 NU Primary
Clinical Social Worker 1041C0700X AP00943246 WV

Addresses

Primary practice location

208 Old Mill Rd
Martinsburg, WV 25401-9219

Mailing address

22 Fisher Hill Farm LN
Harpers Ferry, WV 25425-5277
Phone (304) 279-2553

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address BWAUGAMAN@CWVASI.ORG Health Information Exchange (HIE)
Direct Messaging Address rpifer@panhandlehomehealth.org Health Information Exchange (HIE)

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

LicenseStateTypeSpecialty
AP00943246WVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Panhandle Home Health Inc Social Worker PastSince Dec 10, 2023 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1605484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1497357222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 FISHER HILL FARM LN",
            "city": "HARPERS FERRY",
            "state": "WV",
            "postal_code": "254255277",
            "telephone_number": "304-279-2553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 OLD MILL RD",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254019219",
            "telephone_number": "304-263-5680",
            "fax_number": "304-267-1532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAGEBY",
        "first_name": "AMANDA",
        "middle_name": "SUE",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-16",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": "AP00943246",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WV",
            "license": "AP00943246",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "BWAUGAMAN@CWVASI.ORG",
            "affiliation": "N",
            "endpointDescription": "CORPORATE EMAIL",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "397 Mid Atlantic Pkwy Ste 1",
            "city": "Martinsburg",
            "state": "WV",
            "country_code": "US",
            "postal_code": "254047468",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rpifer@panhandlehomehealth.org",
            "affiliation": "N",
            "endpointDescription": "Corporate email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "208 Old Mill Rd",
            "city": "Martinsburg",
            "state": "WV",
            "country_code": "US",
            "postal_code": "254019219",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Martinsburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; 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.