Active NPI
Amanda M Cole, LSW
- Social Worker
- Waterford, PA
National Provider Identifier
1710221569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- SW129419
- Practice address
- 2520 E Center St
Waterford, PA 16441-8502 - Phone
- (814) 873-4422
- NPI assigned
- Nov 17, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | SW129419 | PA | Primary |
Addresses
Primary practice location
2520 E Center St
Waterford, PA 16441-8502
Mailing address
2520 E Center St
Waterford, PA 16441-8502
Phone (814) 873-4422
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW129419 | PA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353110400000",
"number": "1710221569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2520 E CENTER ST",
"city": "WATERFORD",
"state": "PA",
"postal_code": "164418502",
"telephone_number": "814-873-4422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2520 E CENTER ST",
"city": "WATERFORD",
"state": "PA",
"postal_code": "164418502",
"telephone_number": "814-873-4422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLE",
"first_name": "AMANDA",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "LSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-11-17",
"last_updated": "2012-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PA",
"license": "SW129419",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waterford, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.