Amanda Louise Burnette, LMSW
Individual provider Active NPI Social Worker · Pocahontas, AR
NPI 1740872175 · NPPES record last updated Aug 5, 2024
Key facts
- NPI
- 1740872175
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 22990-M (AR)
- Practice address
- 2305 Old County Rd
Pocahontas, AR 72455-4148 - Phone
- (870) 892-1005
- NPI assigned
- Feb 8, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22990-M | AR | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 22990-M | AR | Yes |
Addresses
Primary practice location
2305 Old County Rd
Pocahontas, AR 72455-4148
Mailing address
1815 Pleasant Grove Rd
Jonesboro, AR 72405-7870
Phone (870) 933-6886
Other providers in Pocahontas, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 5, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.