Individual provider Active NPI

Amanda D. Armstrong, LLMSW

  • Social Worker
  • Adrian, MI
National Provider Identifier
1669083283
Registry record updated Aug 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801105633 Issued in MI
Practice address
805 W Maumee St
Adrian, MI 49221-1901
Phone
(517) 266-8880
Fax
(517) 266-8881
NPI assigned
Aug 17, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X 6801105633 MI
Social Worker 104100000X 6801105633 MI Primary

Addresses

Primary practice location

805 W Maumee St
Adrian, MI 49221-1901

Mailing address

805 W Maumee St
Adrian, MI 49221-1901
Phone (517) 266-8880

Other identifiers 1

IdentifierTypeStateIssuer
6801105633OtherMIPROFESSIONAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801105633MIMDSchool Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Masterpeace Center for Counseling & Development PastSince Jun 18, 2024 Accepting new patients
Parkside Family Counseling, LLC Social Worker PastSince Aug 23, 2020 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.

NPI Registry JSON

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

{
    "created_epoch": "1597622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597622400000",
    "number": "1669083283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 W MAUMEE ST",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492211901",
            "telephone_number": "517-266-8880",
            "fax_number": "517-266-8881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 W MAUMEE ST",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492211901",
            "telephone_number": "517-266-8880",
            "fax_number": "517-266-8881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARMSTRONG",
        "first_name": "AMANDA",
        "middle_name": "D.",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-17",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "MI",
            "license": "6801105633",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801105633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL LICENSE",
            "identifier": "6801105633",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Adrian, MI

Sources for this page

Verify at the official NPI Registry.