Amanda Mason, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW004108 Issued in GA

Practice address

286 Brookview Dr
Valdosta, GA 31602-6521

Phone

(229) 249-9867

NPI assigned

May 28, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: amandamason@tdh.allscriptsdirect.net

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.

• South Georgia Health Alliance Dba Hospice of South Georgia

  • Community Based Hospice Care Agency
  • Valdosta, GA
  • NPI 1750331401
  NPD
• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Clinical

  NPD

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

{
    "created_epoch": "1243468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243468800000",
    "number": "1679708010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "286 BROOKVIEW DR",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316026521",
            "telephone_number": "229-249-9867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "286 BROOKVIEW DR",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316026521",
            "telephone_number": "229-249-9867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "AMANDA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-28",
        "last_updated": "2009-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW004108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Martin
• Taylor Montana Martin, DO
• Tedria L Martin, LMT, NT
• Jocelyne Martinez
• Nikole Martinez
• Masterpieces Counseling and Therapy LLC
• Cindy Mathis, LPC
• Jill Ann Matney
• Ansley Maurer, LMSW
• Douglas Courtney Maxwell, DMD

• Clinical Social Worker in Valdosta, GA
• Providers in Valdosta, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2009; 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.