Active NPI
Amanda Michelle Shafer, CSW-PIP
- Clinical Social Worker
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6037
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
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
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 100
- Quality
- 80.99
- Improvement activities
- 40
- Cost
- 72.05
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4883 | SD | MD | Clinical Social Worker |
| 6037 | SD | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Careconnectmd South Dakota PC | Current | Accepting new patients | |
| Travis J Ptacek MD PLLC | Current | Accepting new patients | |
| Deer Oaks Mental Health Associates PC | Current | 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.
-
- Geriatric Medicine (Family Medicine) Physician
- Rapid City, SD
- NPI 1265113260
-
- General Practice Physician
- Sioux Falls, SD
- NPI 1306527866
-
- Geriatric Medicine (Family Medicine) Physician
- Rapid City, SD
- NPI 1770466161
-
- Community/Behavioral Health Agency
- Yankton, SD
- NPI 1215918339
-
- Mental Health Counselor
- Yankton, SD
- NPI 1972862969
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; 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.