Individual provider Active NPI

Amanda Williams, LCSW

  • Clinical Social Worker
  • Staunton, VA
National Provider Identifier
1619456464
Registry record updated Aug 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904010109 Issued in VA
Practice address
1355 Richmond Ave
Staunton, VA 24401-9146
Phone
(540) 332-2108
NPI assigned
Aug 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2018

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 0904010109 VA Primary

Addresses

Primary practice location

1355 Richmond Ave
Staunton, VA 24401-9146

Mailing address

1010 Seth Dr Apt 405
Staunton, VA 24401-4591

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, AL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210428000906 VA Practitioner - Clinical Social Worker 3678981834 Reassigns benefits to 2 organizations
I20221005000282 AL Practitioner - Clinical Social Worker 3678981834 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sondermind Provider Network LLC Clinical CurrentSince Dec 15, 2022 Accepting new patients
Thrive Counseling LLC CurrentSince Apr 22, 2021 Accepting new patients
Central North Alabama Health Services, Inc. CurrentSince Feb 1, 2023 Accepting new patients
Central North Alabama Health Services, Inc. CurrentSince Feb 1, 2023 Accepting new patients

Locations

1005 W Market St
Ste B
Athens, AL 35611
Phone (256) 230-3061

751 Pleasant Row NW
Huntsville, AL 35816
Phone (256) 533-6311

110 Clinic St
New Market, AL 35761
Phone (256) 379-2101

8208 Highway 53
Toney, AL 35773
Phone (256) 382-7140

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

999 Waterside Dr
Ste 2525
Norfolk, VA 23510
Phone (757) 777-3787

5310 Markel Rd
Ste 102
Richmond, VA 23230
Phone (804) 312-5498

509 Old Great Neck Rd
Ste 203
Virginia Beach, VA 23454
Phone (479) 381-7603

Organizations & group practices 4

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": "1534118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534118400000",
    "number": "1619456464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 SETH DR APT 405",
            "city": "STAUNTON",
            "state": "VA",
            "postal_code": "244014591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 RICHMOND AVE",
            "city": "STAUNTON",
            "state": "VA",
            "postal_code": "244019146",
            "telephone_number": "540-332-2108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "AMANDA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-13",
        "last_updated": "2018-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904010109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staunton, VA

Sources for this page

Verify at the official NPI Registry.