Individual provider Active NPI

Amanda L Milsap, LCSW

  • Clinical Social Worker
  • West Lafayette, IN
National Provider Identifier
1568924009
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34008858A Issued in IN
Practice address
101 Foundry Dr Ste 1200
West Lafayette, IN 47906-3446
Phone
(765) 404-6025
Fax
(765) 340-8075
NPI assigned
Apr 3, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 34008858A IN Primary

Addresses

Primary practice location

101 Foundry Dr Ste 1200
West Lafayette, IN 47906-3446

Mailing address

101 Foundry Dr Ste 1200
West Lafayette, IN 47906-3446
Phone (765) 404-6025

Other names 1

  • Amanda Moss Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20201223002127 IN Practitioner - Clinical Social Worker 3577975127 Reassigns benefits to 1 organization
Practice locations: West Lafayette, IN

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1330 Win Hentschel Blvd
Suite 258
West Lafayette, IN 47906-4149
Phone (765) 404-6025

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Alm Therapy LLC Clinical CurrentSince Nov 13, 2024 Accepting new patients
Riggs Community Health Center Inc Past Accepting new patients

Locations

1330 Win Hentschel Blvd
Ste 258
West Lafayette, IN 47906
Phone (317) 459-6441

101 Foundry Dr
Ste 1200
West Lafayette, IN 47906
Phone (765) 299-6807

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1554249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1568924009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 FOUNDRY DR STE 1200",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479063446",
            "telephone_number": "765-404-6025",
            "fax_number": "765-340-8075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 FOUNDRY DR STE 1200",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479063446",
            "telephone_number": "765-404-6025",
            "fax_number": "765-340-8075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILSAP",
        "first_name": "AMANDA",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-03",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34008858A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "MOSS",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Lafayette, IN

Sources for this page

Verify at the official NPI Registry.