Amanda Richard Dupre', LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4830 Issued in LA

Practice address

21 Henrietta Dr
Crowley, LA 70526-2303

Phone

(337) 384-8876

Fax

(337) 250-4676

NPI assigned

Apr 10, 2007

Last updated

Jul 19, 2016By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

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 1

Specialty

Clinical Social Worker

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: amanda.dupre.1@17321.direct.athenahealth.com

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.

• Amanda R. Dupre LCSW LLC

  • Clinical Social Worker
  • Crowley, LA
  • NPI 1366849390
  Medicare reassignment Authorized official
• Amanda R. Dupre', LCSW LLC

  • Clinical Social Worker
  • Iota, LA
  • NPI 1366711251
  NPD Authorized official
• Mental Health Management, LLC

  • Social Worker
  • Lafayette, LA
  • NPI 1679869812
  NPD (past)
• Southwest Ambulatory Behavioral Services, Inc.

  dba Sabs

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Crowley, LA
  • NPI 1265421820
  NPD (past)

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468886400000",
    "number": "1689897589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 HENRIETTA DR",
            "city": "CROWLEY",
            "state": "LA",
            "postal_code": "705262303",
            "telephone_number": "337-384-8876",
            "fax_number": "337-250-4676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 HENRIETTA DR",
            "city": "CROWLEY",
            "state": "LA",
            "postal_code": "705262303",
            "telephone_number": "337-384-8876",
            "fax_number": "337-250-4676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUPRE'",
        "first_name": "AMANDA",
        "middle_name": "RICHARD",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2016-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "4830",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2173782",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Denise C Dugas, N.P.
• Malcolm Duhe, PHARMD
• Bonny M Duhon, NP
• Sydney Dunbar, DPT
• Heather Spallino Duplechain, MSN, APRN, PMHNP-BC
• Bonnie Gail Dupuis, M.S.
• Todd Michael Durham, RPH
• Duvana LLC
• Dwayne J Bergeaux MD Nephrology & Hypertension
• Early Behavioral Interventions

• Clinical Social Worker in Crowley, LA
• Providers in Crowley, LA by specialty
• Clinical Social Worker in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2016; 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.

Verify at the official NPI Registry.