Amanda Swack, CSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

255855 Issued in KY

Practice address

163 Spring Run St
Versailles, KY 40383-1803

Phone

(859) 625-2249

Fax

(859) 251-4347

NPI assigned

Apr 21, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

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.

• All God'S Children, Inc.

  • Community/Behavioral Health Agency
  • Nicholasville, KY
  • NPI 1588285589
  NPD (past)

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

{
    "created_epoch": "1650499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650499200000",
    "number": "1669116240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 SPRING RUN ST",
            "city": "VERSAILLES",
            "state": "KY",
            "postal_code": "403831803",
            "telephone_number": "859-625-2249",
            "fax_number": "859-251-4347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 SPRING RUN ST",
            "city": "VERSAILLES",
            "state": "KY",
            "postal_code": "403831803",
            "telephone_number": "859-625-2249",
            "fax_number": "859-251-4347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWACK",
        "first_name": "AMANDA",
        "credential": "CSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-21",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "KY",
            "license": "255855",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "255855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steps Ahead, Inc.
• Katherine Lynne Stevenson, DPT
• Kayla Lejoy Stillman
• Corey Thomas Stith, DMD
• Drew Stuber, PT, DPT
• Julia Swett
• Kayla Nicole Tandy
• Shannon Tarrh, MS, CCC/SLP
• Taylor Manor Inc.
• Michael Craig Taylor Jr., DPT

• Clinical Social Worker in Versailles, KY
• Providers in Versailles, 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 Apr 21, 2022; 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.