Active NPI
Amanda Weigle
- Clinical Social Worker
- Tukwila, WA
National Provider Identifier
1588041420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LW60517909
- Practice address
- 15455 65TH Ave S
Tukwila, WA 98188-2534 - Phone
- (206) 721-5170
- NPI assigned
- Apr 29, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LW60517909 | WA | Primary |
Addresses
Primary practice location
15455 65TH Ave S
Tukwila, WA 98188-2534
Mailing address
PO Box 2429
Longview, WA 98632-8486
Other practice location 1
4501 15th Ave S Ste 102
Seattle, WA 98108-1874
Phone (253) 271-4270
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Loyola University of Chicago, Stritch School of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15455 65TH Ave S
Tukwila, WA 98188-2534
Phone (360) 575-3314
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cowlitz Indian Tribe | Past | Accepting new patients |
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.
-
- General Practice Physician
- Longview, WA
- NPI 1851328447
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699574400000",
"number": "1588041420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2429",
"city": "LONGVIEW",
"state": "WA",
"postal_code": "986328486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15455 65TH AVE S",
"city": "TUKWILA",
"state": "WA",
"postal_code": "981882534",
"telephone_number": "206-721-5170"
}
],
"practiceLocations": [
{
"address_1": "4501 15th Ave S Ste 102",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981081874",
"country_code": "US",
"telephone_number": "253-271-4270",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WEIGLE",
"first_name": "AMANDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-29",
"last_updated": "2023-11-10",
"certification_date": "2023-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "LW60517909",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tukwila, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.