Active NPI
Amanda Witmer, LGSW
- Social Worker
- Martinsburg, WV
National Provider Identifier
1558848101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 14202
- Practice address
- 1664 Winchester Ave Ste B
Martinsburg, WV 25405-3881 - Phone
- (304) 901-4347
- Fax
- (888) 596-2658
- NPI assigned
- Jul 26, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 14202 | MD | Primary |
Addresses
Primary practice location
1664 Winchester Ave Ste B
Martinsburg, WV 25405-3881
Mailing address
20 Tather Dr
Martinsburg, WV 25405-7203
Phone (304) 279-8802
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 23, 2025 through Oct 23, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14202 | MD | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Courageous Journey, PLLC | Past | 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 and National Provider Directory roles.
-
- Clinical Social Worker
- Martinsburg, WV
- NPI 1003250408
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532563200000",
"number": "1558848101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 TATHER DR",
"city": "MARTINSBURG",
"state": "WV",
"postal_code": "254057203",
"telephone_number": "304-279-8802",
"fax_number": "888-596-2658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1664 WINCHESTER AVE STE B",
"city": "MARTINSBURG",
"state": "WV",
"postal_code": "254053881",
"telephone_number": "304-901-4347",
"fax_number": "888-596-2658"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WITMER",
"first_name": "AMANDA",
"credential": "LGSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-07-26",
"last_updated": "2018-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "14202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Jul 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.