Amanda Thomason Paul, LCSW, MT-BC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

3813 Issued in KY

Practice address

4523 Greymont Dr
Louisville, KY 40229-3588

Phone

(502) 640-3940

NPI assigned

Feb 16, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Amanda Diane Thomason Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Amanda T Paul, LCSW, Mt-BC

  • Clinical Social Worker
  • Louisville, KY
  • NPI 1104331156
  NPD (past) Authorized official

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

{
    "created_epoch": "1234742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1629217682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 ADAM SHEPHERD PKWY STE 17",
            "city": "SHEPHERDSVILLE",
            "state": "KY",
            "postal_code": "401656579",
            "telephone_number": "502-640-3940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4523 GREYMONT DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402293588",
            "telephone_number": "502-640-3940"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1308 Woodland Dr",
            "address_purpose": "LOCATION",
            "city": "Elizabethtown",
            "state": "KY",
            "postal_code": "427012612",
            "country_code": "US",
            "telephone_number": "270-765-2605 x1936",
            "fax_number": "270-234-8572",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAUL",
        "first_name": "AMANDA",
        "middle_name": "THOMASON",
        "credential": "LCSW, MT-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-16",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "5428",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "3813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "THOMASON",
            "middle_name": "DIANE",
            "credential": "CSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Paul a. Rafson, M.D.
• Paul C Brooks DMD. PLLC
• Paul E King DMD PLLC
• Aimee V Paul, MD
• Allison Paul, CSW
• Brian Paul, MD
• Corinne A Paul, MMFT
• Marsha Ann Paul, APRN, FNP-C
• Ronald Irvin Paul, MD
• Samantha Lynn Pauline, APRN

• Clinical Social Worker in Louisville, KY
• Providers in Louisville, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.