Individual provider Active NPI

Amanda Sue Emerson, LCSW

  • Clinical Social Worker
  • Evanston, IL
National Provider Identifier
1659701654
Registry record updated Sep 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.028662 Issued in IL
Practice address
1830 Sherman Ave Ste 401
Evanston, IL 60201-3774
Phone
(847) 852-7496
Fax
(870) 206-8213
NPI assigned
Nov 13, 2013
Last updated
Sep 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149.028662 IL Primary
Clinical Social Worker 1041C0700X 8606-C AR

Addresses

Primary practice location

1830 Sherman Ave Ste 401
Evanston, IL 60201-3774

Mailing address

1830 Sherman Ave Ste 401
Evanston, IL 60201-3774
Phone (847) 852-7496

Other practice location 1

425 W Broadway St Ste K
North Little Rock, AR 72114-5576
Phone (870) 206-8212

Other identifiers 3

IdentifierTypeStateIssuer
1194459917OtherARMIND ALIGN COUNSELING GROUP NUMBER
1619853058OtherILGNPI
1659701654OtherARAMANDA EMERSON, LCSW

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, IN, FL, IL4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20201231000353 AR Practitioner - Clinical Social Worker 7517370083 Reassigns benefits to 1 organization
I20251006000731 IN Practitioner - Clinical Social Worker 7517370083 Reassigns benefits to 1 organization
I20251008001403 FL Practitioner - Clinical Social Worker 7517370083 Reassigns benefits to 1 organization
I20260407003049 IL Practitioner - Clinical Social Worker 7517370083 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Univ of Central Florida, College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1830 Sherman Ave
Suite 401
Evanston, IL 60201-3774
Phone (870) 790-0849

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8606-CARMDClinical Social Worker
149.028662ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Amanda Emerson, P.a. Clinical CurrentSince Nov 1, 2023 Accepting new patients
Mind Align Integrative, Inc Clinical CurrentSince Aug 17, 2025 Accepting new patients
Sondermind Provider Network LLC Clinical CurrentSince Sep 1, 2025 Accepting new patients

Locations

1202 NE McClain Rd
Bentonville, AR 72712
Phone (855) 632-6940

361 Southwest Dr
Jonesboro, AR 72401
Phone (870) 219-1407

820 E Matthews Ave
Ste F
Jonesboro, AR 72401
Phone (870) 202-9851

2020 W 3rd St
Ste 605B
Little Rock, AR 72205

425 W Broadway St
Ste K
North Little Rock, AR 72114
Phone (870) 206-8212

333 SE 2nd Ave
Ste 2000
Miami, FL 33131
Phone (201) 581-3411

1830 Sherman Ave
Ste 401
Evanston, IL 60201
Phone (847) 852-7496

333 N Alabama St
Ste 350
Indianapolis, IN 46204
Phone (317) 983-0002

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1384300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788739200000",
    "number": "1659701654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 SHERMAN AVE STE 401",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602013774",
            "telephone_number": "847-852-7496",
            "fax_number": "870-206-8213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 SHERMAN AVE STE 401",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602013774",
            "telephone_number": "847-852-7496",
            "fax_number": "870-206-8213"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "425 W Broadway St Ste K",
            "address_purpose": "LOCATION",
            "city": "North Little Rock",
            "state": "AR",
            "postal_code": "721145576",
            "country_code": "US",
            "telephone_number": "870-206-8212",
            "fax_number": "870-206-8213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EMERSON",
        "first_name": "AMANDA",
        "middle_name": "SUE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-13",
        "last_updated": "2026-09-07",
        "certification_date": "2026-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.028662",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "8606-C",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIND ALIGN COUNSELING GROUP NUMBER",
            "identifier": "1194459917",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GNPI",
            "identifier": "1619853058",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMANDA EMERSON, LCSW",
            "identifier": "1659701654",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

Verify at the official NPI Registry.