Individual provider Active NPI

Amanda Kravitz, LICSW

  • Clinical Social Worker
  • Scituate, MA
National Provider Identifier
1750759478
Registry record updated Sep 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
121394 Issued in MA
Practice address
76 Front St Ste 21
Scituate, MA 02066-1314
Phone
(781) 421-1066
NPI assigned
Sep 11, 2015
Last updated
Sep 9, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 2292 CT
Clinical Social Worker 1041C0700X 121394 MA Primary

Addresses

Primary practice location

76 Front St Ste 21
Scituate, MA 02066-1314

Mailing address

532 Stewart Dr
Abington, MA 02351-5027
Phone (631) 338-6897

Other practice location 1

105 Webster St Ste 7
Hanover, MA 02339-1227
Phone (781) 424-1066

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

LicenseStateTypeSpecialty
2292CTMDSocial Worker
121394MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Amanda Kravitz LLC Clinical Current Accepting new patients

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, 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": "1441929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536451200000",
    "number": "1750759478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "532 STEWART DR",
            "city": "ABINGTON",
            "state": "MA",
            "postal_code": "023515027",
            "telephone_number": "631-338-6897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 FRONT ST STE 21",
            "city": "SCITUATE",
            "state": "MA",
            "postal_code": "020661314",
            "telephone_number": "781-421-1066"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 Webster St Ste 7",
            "address_purpose": "LOCATION",
            "city": "Hanover",
            "state": "MA",
            "postal_code": "023391227",
            "country_code": "US",
            "telephone_number": "781-424-1066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRAVITZ",
        "first_name": "AMANDA",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-11",
        "last_updated": "2018-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CT",
            "license": "2292",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "121394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scituate, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.