Amanda Driggs, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

3908 Issued in KY

Practice address

120 Sears Ave
Ste 205
Louisville, KY 40207-5072

Phone

(502) 230-1637

Fax

(502) 709-5117

NPI assigned

Jun 10, 2010

Last updated

Apr 6, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Amanda Bruno Other name

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

Specialty

Clinical Social Worker

Education

University of Louisville School of Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1276128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491436800000",
    "number": "1760702971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 SEARS AVE",
            "address_2": "STE 205",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402075072",
            "telephone_number": "502-230-1637",
            "fax_number": "502-709-5117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 SEARS AVE",
            "address_2": "STE 205",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402075072",
            "telephone_number": "502-230-1637",
            "fax_number": "502-709-5117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRIGGS",
        "first_name": "AMANDA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-10",
        "last_updated": "2017-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "3908",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KY",
            "license": "0852",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100287520",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "BRUNO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Brenda Drexler, LCSW
• Seth Drey
• Hector Heinrich Dreyer
• McKenzie Rae Driggers, APRN
• Barbaro Driggs Chapman
• Robert Drinovac
• Philip O Dripchak, MD
• Amanda Driscoll, OTR
• Melanie G Driscoll, AU.D.
• Michael Francis Driscoll, M.D.

• Clinical Social Worker in Louisville, KY
• Providers in Louisville, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.