Individual provider Active NPI

Amanda Louise Farrell, LCSW

  • Clinical Social Worker
  • Reading, PA
National Provider Identifier
1750966727
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW024348 Issued in PA
Practice address
557 Dover CT
Reading, PA 19606-9163
Phone
(717) 781-3852
NPI assigned
Mar 11, 2021
Last updated
Feb 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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 NU
Clinical Social Worker 1041C0700X CW024348 PA Primary

Addresses

Primary practice location

557 Dover CT
Reading, PA 19606-9163

Mailing address

557 Dover CT
Reading, PA 19606-9163
Phone (717) 781-3852

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Laptop

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20240221001167 PA Practitioner - Clinical Social Worker 2567806201 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Delaware County Professional Services, IncGroup PAC ID 2668436692, 276 clinicians

Practice addresses (Care Compare)

3800 Sierra Cir
Suite 210
Center Valley, PA 18034-8476
Phone (610) 892-3800

495 Thomas Jones Way
Suite 204
Exton, PA 19341-2553
Phone (610) 892-3800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Berkshire Psychiatric & Behavioral Health Services, PLLC Counselor CurrentSince Mar 1, 2021 Accepting new patients
Delaware County Professional Services, Inc CurrentSince Feb 8, 2024 Accepting new patients
Haven Behavioral Services of Reading, LLC PastSince Mar 1, 2021 Accepting new patients

Locations

3800 Sierra Cir
Ste 210
Center Valley, PA 18034
Phone (855) 995-5384

495 Thomas Jones Way
Ste 204
Exton, PA 19341
Phone (610) 363-6062

1055 E Baltimore Pike
Ste 300
Media, PA 19063
Phone (253) 346-0020

1800 N 12th St
Reading, PA 19604
Phone (610) 375-0544

780 E Market St
West Chester, PA 19382
Phone (425) 908-0237

Organizations & group practices 3

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": "1615420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1750966727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "557 DOVER CT",
            "city": "READING",
            "state": "PA",
            "postal_code": "196069163",
            "telephone_number": "717-781-3852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "557 DOVER CT",
            "city": "READING",
            "state": "PA",
            "postal_code": "196069163",
            "telephone_number": "717-781-3852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRELL",
        "first_name": "AMANDA",
        "middle_name": "LOUISE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-11",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW024348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Laptop",
            "affiliation": "N",
            "address_1": "1800 N 12th St",
            "city": "Reading",
            "state": "PA",
            "country_code": "US",
            "postal_code": "196041545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Reading, PA

Sources for this page

Verify at the official NPI Registry.