Individual provider Active NPI

Amanda Rice Wright, LICSW

  • Clinical Social Worker
  • Owens Cross Roads, AL
National Provider Identifier
1750045076
Registry record updated Oct 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4884C Issued in AL
Practice address
4904 Ashley Cir SE
Owens Cross Roads, AL 35763-8007
Phone
(205) 240-1842
NPI assigned
Oct 22, 2021
Last updated
Oct 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2021

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 4884C AL Primary

Addresses

Primary practice location

4904 Ashley Cir SE
Owens Cross Roads, AL 35763-8007

Mailing address

4904 Ashley Cir SE
Owens Cross Roads, AL 35763-8007
Phone (205) 240-1842

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20211111000026 AL Practitioner - Clinical Social Worker 4486043577 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Amanda Wright Counseling LLC CurrentSince Apr 14, 2024 Accepting new patients
Eagle Consulting, LLC Clinical CurrentSince Nov 1, 2021 Accepting new patients

Locations

475 Providence Main St NW
Ste 401
Huntsville, AL 35806
Phone (256) 341-0811

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1634860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634860800000",
    "number": "1750045076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4904 ASHLEY CIR SE",
            "city": "OWENS CROSS ROADS",
            "state": "AL",
            "postal_code": "357638007",
            "telephone_number": "205-240-1842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4904 ASHLEY CIR SE",
            "city": "OWENS CROSS ROADS",
            "state": "AL",
            "postal_code": "357638007",
            "telephone_number": "205-240-1842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "AMANDA",
        "middle_name": "RICE",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-22",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "4884C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owens Cross Roads, AL

Sources for this page

Verify at the official NPI Registry.