Amanda Briggs Middlebrook, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

9018 Issued in LA

Practice address

243 Curtiss Rd Ste 100
Barksdale AFB, LA 71110-2425

Phone

(318) 456-6600

NPI assigned

Oct 31, 2008

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

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, 2005

Medicare assignment

May accept Medicare assignment

Group practices

Interactional Services, IncGroup PAC ID 5799677647, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Interactional Services, Inc

  • Clinical Social Worker
  • Shreveport, LA
  • NPI 1891821641
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1225411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1710130950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 SOUTHFIELD RD",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711062219",
            "telephone_number": "318-869-1632",
            "fax_number": "318-869-1633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 CURTISS RD STE 100",
            "city": "BARKSDALE AFB",
            "state": "LA",
            "postal_code": "711102425",
            "telephone_number": "318-456-6600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "707 Southfield Rd",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711062219",
            "country_code": "US",
            "telephone_number": "318-869-1632",
            "fax_number": "318-869-1633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIDDLEBROOK",
        "first_name": "AMANDA",
        "middle_name": "BRIGGS",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-31",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "9018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kent McDonald, M.D.
• Tessa Meck, RDH
• Kibrom T Mehari, D.D.S.
• Richard Hunter Mello III, PT, DPT
• Gregory Glen Melton, PHARM.D.
• Elysia Montgomery, DMD
• Catrina Tia Moore, PA-C
• Kenterea Murphy
• Matthew Naedel, MD
• Dillon Vonn Nails

• Clinical Social Worker in Barksdale AFB, LA
• Providers in Barksdale AFB, 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 Aug 1, 2023; 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.