Individual provider Active NPI

Amanda Michelle Shafer, CSW-PIP

  • Clinical Social Worker
  • San Antonio, TX
National Provider Identifier
1700344926
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6037 Issued in SD
Practice address
7272 Wurzbach Rd Ste 601
San Antonio, TX 78240-4803
Phone
(210) 615-3483
NPI assigned
Mar 6, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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 4883 SD
Clinical Social Worker 1041C0700X 6037 SD Primary

Addresses

Primary practice location

7272 Wurzbach Rd Ste 601
San Antonio, TX 78240-4803

Mailing address

15543 Lonesome Dove St
Box Elder, SD 57719-8139

Other names 1

  • Amanda Michelle Huck Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
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
I20230721000923 SD Practitioner - Clinical Social Worker 9931569951 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Travis J Ptacek MD PLLCGroup PAC ID 1658725692, 10 clinicians

Practice addresses (Care Compare)

1620 N 7TH St
Rapid City, SD 57701-0511
Phone (317) 370-2013

Merit-based Incentive Payment System (MIPS)

Final score
91.16 of 100Reported as group
Quality
80.99
Improvement activities
40
Cost
72.05

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4883SDMDClinical Social Worker
6037SDMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Careconnectmd South Dakota PC CurrentSince May 7, 2025 Accepting new patients
Travis J Ptacek MD PLLC CurrentSince Apr 8, 2024 Accepting new patients
Deer Oaks Mental Health Associates PC CurrentSince Jul 10, 2023 Accepting new patients
Lewis & Clark Mental Health Center Past Accepting new patients
Lewis & Clark Behavioral Health Services, Inc. Past Accepting new patients

Locations

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

1065 Montgomery St
Custer, SD 57730
Phone (605) 343-4958

2000 Wesleyan Blvd
Rapid City, SD 57702
Phone (605) 343-3555

1620 N 7th St
Rapid City, SD 57701
Phone (605) 343-4958

302 Saint Cloud St
Rapid City, SD 57701
Phone (605) 343-4738

916 Mountain View Rd
Rapid City, SD 57702
Phone (605) 343-4958

2500 Arrowhead Dr
Rapid City, SD 57702
Phone (317) 370-2013

126 W 12th Ave
Redfield, SD 57469
Phone (605) 335-3421

101 S Reid St
Ste 307
Sioux Falls, SD 57103
Phone (605) 221-6244

1020 N 10th St
Spearfish, SD 57783
Phone (605) 642-2716

7272 Wurzbach Rd
Ste 601
San Antonio, TX 78240
Phone (210) 615-3472

Organizations & group practices 6

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": "1551830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1700344926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15543 LONESOME DOVE ST",
            "city": "BOX ELDER",
            "state": "SD",
            "postal_code": "577198139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7272 WURZBACH RD STE 601",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782404803",
            "telephone_number": "210-615-3483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFER",
        "first_name": "AMANDA",
        "middle_name": "MICHELLE",
        "credential": "CSW-PIP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-06",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SD",
            "license": "4883",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SD",
            "license": "6037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "HUCK",
            "middle_name": "MICHELLE",
            "credential": "CSW-PIP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.