Individual provider Active NPI

Amanda Savage Brown, PHD, LCSW

  • Clinical Social Worker
  • Barrington, IL
National Provider Identifier
1700254380
Registry record updated Jan 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.019675 Issued in IL
Practice address
1000 Hart Rd Ste 201
Barrington, IL 60010-2669
Phone
(847) 382-1915
NPI assigned
Sep 13, 2015
Last updated
Jan 9, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW005942 GA
Clinical Social Worker 1041C0700X 149.019675 IL Primary

Addresses

Primary practice location

1000 Hart Rd Ste 201
Barrington, IL 60010-2669

Mailing address

334 W Main St
Barrington, IL 60010-3059
Phone (404) 664-0922

Other practice location 1

334 W Main St
Barrington, IL 60010-3059
Phone (404) 664-0922

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
CSW005942GAMDClinical Social Worker
149.019675ILMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1442102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546992000000",
    "number": "1700254380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 W MAIN ST",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600103059",
            "telephone_number": "404-664-0922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 HART RD STE 201",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600102669",
            "telephone_number": "847-382-1915"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "334 W Main St",
            "address_purpose": "LOCATION",
            "city": "Barrington",
            "state": "IL",
            "postal_code": "600103059",
            "country_code": "US",
            "telephone_number": "404-664-0922",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "AMANDA",
        "middle_name": "SAVAGE",
        "credential": "PHD, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-13",
        "last_updated": "2019-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW005942",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.019675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barrington, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2019; 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.