Individual provider Active NPI

Amanda Cushing, MSW, LICSW

  • Clinical Social Worker
  • St Johnsbury, VT
National Provider Identifier
1750683553
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0890071950 Issued in VT
Practice address
231 Concord Ave Ste 1
St Johnsbury, VT 05819-1515
Phone
(802) 748-5364
Fax
(802) 748-7289
NPI assigned
Nov 30, 2010
Last updated
Sep 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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 0890071950 VT Primary

Addresses

Primary practice location

231 Concord Ave Ste 1
St Johnsbury, VT 05819-1515

Mailing address

231 Concord Ave Ste 1
St Johnsbury, VT 05819-1515
Phone (802) 748-5364

Other identifiers 1

IdentifierTypeStateIssuer
1019321MedicaidVT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
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
I20110817000670 VT Practitioner - Clinical Social Worker 9830368364 Practice locations: St Johnsbury, VT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

231 Concord Ave
Suite 1
Saint Johnsbury, VT 05819-1513

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0890071950VTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Angel Roy LLC Past Accepting new patients
Little Brook Counseling PLLC Clinical PastSince May 28, 2023 Accepting new patients

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": "1291075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788480000000",
    "number": "1750683553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 CONCORD AVE STE 1",
            "city": "ST JOHNSBURY",
            "state": "VT",
            "postal_code": "058191515",
            "telephone_number": "802-748-5364",
            "fax_number": "802-748-7289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 CONCORD AVE STE 1",
            "city": "ST JOHNSBURY",
            "state": "VT",
            "postal_code": "058191515",
            "telephone_number": "802-748-5364",
            "fax_number": "802-748-7289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUSHING",
        "first_name": "AMANDA",
        "credential": "MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-30",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "0890071950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1019321",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Johnsbury, VT

Sources for this page

Verify at the official NPI Registry.