Individual provider Active NPI

Amanda Lee Scepurek, LCSW

  • Clinical Social Worker
  • Cartersville, GA
National Provider Identifier
1578053211
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW009726 Issued in GA
Practice address
227 Ingot LN SE Apt 227
Cartersville, GA 30121-3201
Phone
(678) 644-6638
NPI assigned
May 17, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW009726 GA Primary
Clinical Social Worker 1041C0700X MSW010176 GA
Behavior Technician 106S00000X 17-40218 IL

Addresses

Primary practice location

227 Ingot LN SE Apt 227
Cartersville, GA 30121-3201

Mailing address

227 Ingot LN SE Apt 227
Cartersville, GA 30121-3201
Phone (678) 644-6638

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CSW009726GAMDClinical Social Worker
MSW010176GAMDClinical Social Worker
17-40218ILMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1526515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1578053211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 INGOT LN SE APT 227",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301213201",
            "telephone_number": "678-644-6638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 INGOT LN SE APT 227",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301213201",
            "telephone_number": "678-644-6638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCEPUREK",
        "first_name": "AMANDA",
        "middle_name": "LEE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-17",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW009726",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "MSW010176",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "IL",
            "license": "17-40218",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cartersville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.