Active NPI
Amanda Phipps
- Social Worker
- Lexington, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 252042
- Practice address
- 900 Beasley St
Suite 120
Lexington, KY 40509-4266 - Phone
- (859) 254-1035
- NPI assigned
- Nov 15, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 252042 | KY | Primary |
Addresses
Primary practice location
900 Beasley St
Suite 120
Lexington, KY 40509-4266
Mailing address
125 Oroark Ave Apt 2
Richmond, KY 40475-2857
Phone (859) 893-4410
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, TX, DC, OH, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 5
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200115001865 | KY | Practitioner - Clinical Social Worker | 7113352469 | Reassigns benefits to 1 organization |
| I20250129003278 | TX | Practitioner - Clinical Social Worker | 7113352469 | Reassigns benefits to 1 organization |
| I20250203001967 | DC | Practitioner - Clinical Social Worker | 7113352469 | Reassigns benefits to 1 organization |
| I20250904003971 | OH | Practitioner - Clinical Social Worker | 7113352469 | Reassigns benefits to 1 organization |
| I20260605002671 | IN | Practitioner - Clinical Social Worker | 7113352469 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
66 E Flagler St
Miami, FL 33130-1807
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 252042 | KY | MD | Social Worker |
| 114871 | TX | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Current | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
312 S 4th St
Ste 700
Louisville, KY 40202
Phone (502) 628-5023
4449 Easton Way
Fl 2
Columbus, OH 43219
Phone (614) 565-8197
700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391
8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598
Interoperability endpoints
- awashington132063@bhkydirect.com
Organizations & group practices 1
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": "1479168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653523200000",
"number": "1679015176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 OROARK AVE APT 2",
"city": "RICHMOND",
"state": "KY",
"postal_code": "404752857",
"telephone_number": "859-893-4410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 BEASLEY ST",
"address_2": "SUITE 120",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405094266",
"telephone_number": "859-254-1035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHIPPS",
"first_name": "AMANDA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-11-15",
"last_updated": "2022-05-26",
"certification_date": "2022-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "KY",
"license": "252042",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.