Individual provider Active NPI

Amanda M Vasey, MSW, LCSW

  • Clinical Social Worker
  • Allentown, PA
National Provider Identifier
1699547935
Registry record updated Mar 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW024474 Issued in PA
Practice address
2047 PA Route 309
Allentown, PA 18104-9307
Phone
(484) 276-4646
Fax
(484) 558-2998
NPI assigned
Oct 30, 2023
Last updated
Mar 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW135009 PA
Clinical Social Worker 1041C0700X CW024474 PA Primary

Addresses

Primary practice location

2047 PA Route 309
Allentown, PA 18104-9307

Mailing address

2047 PA Route 309
Allentown, PA 18104-9307
Phone (484) 276-4646

Other names 1

  • Ms. Amanda M Happaney Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20240403003802 PA Practitioner - Clinical Social Worker 8729426184 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Calm Space LLCGroup PAC ID 3274952163, 13 clinicians

Practice addresses (Care Compare)

2047 PA Route 309
Allentown, PA 18104-9307
Phone (484) 276-4646

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW135009PAMDSocial Worker
CW024474PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Calm Space LLC Clinical CurrentSince Mar 12, 2024 Accepting new patients

Locations

2047 Pa Route 309
Allentown, PA 18104
Phone (484) 276-4646

4110 Independence Dr
Schnecksville, PA 18078
Phone (484) 276-4646

Interoperability endpoints

  • Direct secure messaging: amanda.vasey.1@33682.direct.athenahealth.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1698624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709942400000",
    "number": "1699547935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2047 PA ROUTE 309",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181049307",
            "telephone_number": "484-276-4646",
            "fax_number": "484-558-2998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2047 PA ROUTE 309",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181049307",
            "telephone_number": "484-276-4646",
            "fax_number": "484-558-2998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASEY",
        "first_name": "AMANDA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-30",
        "last_updated": "2024-03-09",
        "certification_date": "2024-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW135009",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW024474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "HAPPANEY",
            "middle_name": "M",
            "prefix": "MS.",
            "credential": "MSW, LSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.