Amanda J Edwards Doheny, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

080374 Issued in NY

Practice address

1 N Broadway
Suite 704
White Plains, NY 10601-2310

Phone

(914) 385-1150

Fax

(914) 385-1155

NPI assigned

Aug 27, 2009

Last updated

Mar 11, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Amanda J Edwards Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Nov 20, 2015 through Nov 20, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Cognitive and Behavioral Care Center, LLC

  • Mental Health Counselor
  • Greenwich, CT
  • NPI 1194334334
  NPD Authorized official

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

{
    "created_epoch": "1251331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362960000000",
    "number": "1548493232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 N BROADWAY",
            "address_2": "SUITE 704",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106012310",
            "telephone_number": "914-385-1150",
            "fax_number": "914-385-1155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 N BROADWAY",
            "address_2": "SUITE 704",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106012310",
            "telephone_number": "914-385-1150",
            "fax_number": "914-385-1155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS DOHENY",
        "first_name": "AMANDA",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-27",
        "last_updated": "2013-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "080374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "EDWARDS",
            "middle_name": "J",
            "prefix": "MRS.",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Eclectic Balance LLC
• Antonia Rose Edelstein
• Jeannine Elizabeth Ederer, PSYD, BCBA, LBA
• Rasheeda Edmonds
• Edna L. Roker Social Adult Day Center Inc.
• Alando R. Edwards
• Denyse Annmarie Edwards
• Lesline Verona Edwards, NP
• Maureen Elizabeth Edwards, M.D.
• Mildred Edwards, N.P.

• Clinical Social Worker in White Plains, NY
• Providers in White Plains, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.