Individual provider Active NPI

Amanda Carol Dick, CSW

  • Clinical Social Worker
  • Somerset, KY
National Provider Identifier
1760143028
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
260289 Issued in KY
Practice address
200 Belmont Ave
Somerset, KY 42501-2419
Phone
(606) 687-2038
Fax
(606) 200-3654
NPI assigned
Jan 7, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2025

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 260289 KY Primary

Addresses

Primary practice location

200 Belmont Ave
Somerset, KY 42501-2419

Mailing address

PO Box 3044
West Somerset, KY 42564-3044
Phone (606) 687-2038

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20251030003477 KY Practitioner - Clinical Social Worker 4183113913 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Kentucky College of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mandran Health PLLCGroup PAC ID 1254624588, 5 clinicians

Practice addresses (Care Compare)

4010 Dupont Cir
Suite 411
Louisville, KY 40207-4837
Phone (502) 275-0035

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
260289KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mandran Health PLLC CurrentSince Sep 17, 2025 Accepting new patients
Wellspring Counseling Ky Clinical CurrentSince May 26, 2024 Accepting new patients
Wellsprings Wellness LLC Clinical PastSince May 26, 2024 Accepting new patients

Locations

4010 DuPont Cir
Ste 411
Louisville, KY 40207
Phone (502) 275-0035

200 Belmont Ave
Somerset, KY 42501
Phone (606) 678-2038

220 Tower Cir
Somerset, KY 42503
Phone (606) 775-0688

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1641513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1760143028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3044",
            "city": "WEST SOMERSET",
            "state": "KY",
            "postal_code": "425643044",
            "telephone_number": "606-687-2038",
            "fax_number": "606-200-3654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BELMONT AVE",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425012419",
            "telephone_number": "606-687-2038",
            "fax_number": "606-200-3654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICK",
        "first_name": "AMANDA",
        "middle_name": "CAROL",
        "credential": "CSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-07",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "260289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, KY

Sources for this page

Verify at the official NPI Registry.