Individual provider Active NPI

Amanda Kay Cuminale, LCSW

  • Social Worker
  • Chillicothe, MO
National Provider Identifier
1508606641
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
2024013653 Issued in MO
Practice address
401 Youssef Dr
Chillicothe, MO 64601-1643
Phone
(660) 359-4487
Fax
(660) 359-2958
NPI assigned
May 28, 2024
Last updated
Aug 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 2024013653 MO Primary

Addresses

Primary practice location

401 Youssef Dr
Chillicothe, MO 64601-1643

Mailing address

PO Box 30
Trenton, MO 64683-0030
Phone (660) 359-4487

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240905001630 MO Practitioner - Clinical Social Worker 8820538853 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1601 E 28TH St
Trenton, MO 64683-1178
Phone (660) 359-4487

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
North Central Missouri Mental Health Center CurrentSince Sep 4, 2024 Accepting new patients
North Central Missouri Mental Health Center CurrentSince Sep 4, 2024 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

Organizations & group practices 2

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": "1716854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1508606641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30",
            "city": "TRENTON",
            "state": "MO",
            "postal_code": "646830030",
            "telephone_number": "660-359-4487",
            "fax_number": "660-359-2958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 YOUSSEF DR",
            "city": "CHILLICOTHE",
            "state": "MO",
            "postal_code": "646011643",
            "telephone_number": "660-359-4487",
            "fax_number": "660-359-2958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUMINALE",
        "first_name": "AMANDA",
        "middle_name": "KAY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-28",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MO",
            "license": "2024013653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chillicothe, MO

Sources for this page

Verify at the official NPI Registry.