Individual provider Active NPI

Amanda Kathleen Dennis, LCSW

  • Clinical Social Worker
  • Spring, TX
National Provider Identifier
1740733542
Registry record updated Jul 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
33447 Issued in TX
Practice address
8203 Scoresby Manor CT
Spring, TX 77379-5318
Phone
(713) 458-8598
NPI assigned
Jul 27, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 33447 TX Primary

Addresses

Primary practice location

8203 Scoresby Manor CT
Spring, TX 77379-5318

Mailing address

8203 Scoresby Manor CT
Spring, TX 77379-5318
Phone (713) 458-8598

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20201112002181 TX Practitioner - Clinical Social Worker 2365852860 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Behavioral Health Specialists Medical Group (de), PAGroup PAC ID 7618397464, 34 clinicians

Practice addresses (Care Compare)

101 Southwestern Blvd
Suite 290
Sugar Land, TX 77478-3548
Phone (877) 583-5633

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33447TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Health Specialists (de), P.a. Clinical CurrentSince Nov 1, 2020 Accepting new patients

Locations

2550 W Union Hills Dr
Ste 350
Phoenix, AZ 85027
Phone (480) 404-4952

200 Union Blvd
Ste 200
Lakewood, CO 80228
Phone (405) 286-1016

1251 N Eddy St
Ste 200
South Bend, IN 46617
Phone (219) 286-7258

801 E Douglas Ave
Ste 2
Wichita, KS 67202

1 Chisholm Trail Rd
Ste 450
Round Rock, TX 78681
Phone (512) 862-7200

101 Southwestern Blvd
Ste 290
Sugar Land, TX 77478
Phone (877) 583-5633

4321 W College Ave
Ste 200
Appleton, WI 54914
Phone (920) 519-2920

Organizations & group practices 1

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": "1469577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469577600000",
    "number": "1740733542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8203 SCORESBY MANOR CT",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773795318",
            "telephone_number": "713-458-8598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8203 SCORESBY MANOR CT",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773795318",
            "telephone_number": "713-458-8598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENNIS",
        "first_name": "AMANDA",
        "middle_name": "KATHLEEN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-27",
        "last_updated": "2016-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "33447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

Verify at the official NPI Registry.