Amanda Raether, LCSW
Individual provider Active NPI Clinical Social Worker · Ledbetter, KY
NPI 1801429428 · NPPES record last updated Sep 28, 2023
Key facts
- NPI
- 1801429428
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 254594 (KY)
- Practice address
- 227 Gene Dr
Ledbetter, KY 42058-9722 - Phone
- (270) 704-3563
- NPI assigned
- Feb 21, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Clinical | Current | Accepting new patients |
| Mercy Health Physicians Kentucky LLC | Multi-Specialty | Past | Accepting new patients |
Interoperability endpoints
- amandaraether@tdh.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | 254594 | KY | Yes |
Addresses
Primary practice location
227 Gene Dr
Ledbetter, KY 42058-9722
Mailing address
227 Gene Dr
Ledbetter, KY 42058-9722
Phone (270) 704-3563
Other providers in Ledbetter, KY
All providers in Ledbetter, KY · Clinical Social Worker in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 28, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.