Amanda Kay Cuminale, LCSW
Individual provider Active NPI Social Worker · Chillicothe, MO
NPI 1508606641 · NPPES record last updated Aug 13, 2024
Key facts
- NPI
- 1508606641
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 2024013653 (MO)
- Practice address
- 401 Youssef Dr
Chillicothe, MO 64601-1643 - Phone
- (660) 359-4487
- Fax
- (660) 359-2958
- NPI assigned
- May 28, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- North Central Missouri Mental Health Center
Practice addresses (Care Compare)
1601 E 28TH St
Trenton, MO 64683-1178
Phone (660) 359-4487
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240905001630 | MO | Practitioner - Clinical Social Worker | 8820538853 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Central Missouri Mental Health Center | Current |
Accepting new patients | |
| North Central Missouri Mental Health Center | Current |
Accepting new patients |
Locations
1102 W Helm St
Brookfield, MO 64628
Phone (660) 359-4487
401 Youssef Dr
Chillicothe, MO 64601
Phone (660) 359-4487
220 E 3rd St
#B
Milan, MO 63556
Phone (660) 359-4487
1601 E 28th St
Trenton, MO 64683
Phone (660) 359-4487
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 2024013653 | MO | Yes |
Addresses
Primary practice location
401 Youssef Dr
Chillicothe, MO 64601-1643
Mailing address
PO Box 30
Trenton, MO 64683-0030
Phone (660) 359-4487
Other providers in Chillicothe, MO
- Desiree Noelle Corbin
- Alison Janell Cornell
- Covenant Rehab Clinic, LLC
- Emily Cox
- Julie Anna Cramer
- Jonathan Curran
- Hannah Marie Daley
- Daniel H. Jones, O.D., P.C.
- Floyd Jerome Davis
- Edna C Decastro
All providers in Chillicothe, MO · Social Worker in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 13, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.