Amanda Nicole Whitlow, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904013572 Issued in VA

Practice address

11237 Magill Terrace Dr
Chester, VA 23831-6150

Phone

(804) 292-1836

Fax

(804) 409-7536

NPI assigned

Mar 29, 2022

Last updated

Mar 13, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Richmond Behavioral Health Authority

  • Community/Behavioral Health Agency
  • Richmond, VA
  • NPI 1184715328
  Medicare reassignment NPD
• Concrete Roses Counseling and Consulting

  • Adult Mental Health Clinic/Center
  • Chester, VA
  • NPI 1336917525
  NPD Authorized official

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

{
    "created_epoch": "1648512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1801546031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1248 CARMIA WAY #1145",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232353825",
            "telephone_number": "804-292-1836",
            "fax_number": "804-409-7536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11237 MAGILL TERRACE DR",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238316150",
            "telephone_number": "804-292-1836",
            "fax_number": "804-409-7536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITLOW",
        "first_name": "AMANDA",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-29",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904013572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wellness in Motion
• Where Grace Abounds, LLC
• Amber White
• Colby Edward White, DPT
• Whitney Whitlock
• Brian Whittington, DPT
• Wholistic Hues LLC
• Katy Marie Jackson Wiggins, REGISTERED NURSE
• Eifa Catherine Willard, FNP
• William F. Callery DDS PLC

• Clinical Social Worker in Chester, VA
• Providers in Chester, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.