Individual provider Active NPI

Amanda Defilippis

  • Clinical Social Worker
  • Rocky Mount, VA
National Provider Identifier
1831883842
Registry record updated Jun 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904015366 Issued in VA
Practice address
30 Technology Dr
Rocky Mount, VA 24151-3008
Phone
(540) 483-0582
NPI assigned
Jun 5, 2023
Last updated
Jun 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2023

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 0904015366 VA Primary

Addresses

Primary practice location

30 Technology Dr
Rocky Mount, VA 24151-3008

Mailing address

24 Clay St
Martinsville, VA 24112-2810
Phone (276) 632-7128

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20230728002220 VA Practitioner - Clinical Social Worker 2062873649 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Regional Community Services BoardGroup PAC ID 0345215208, 35 clinicians

Practice addresses (Care Compare)

30 Technology Dr
Rocky Mount, VA 24151-3008
Phone 27663271281339

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Brief Therapy, Inc. CurrentSince Sep 6, 2024 Accepting new patients
Blue Ridge Telehealth CurrentSince Oct 19, 2025 Accepting new patients
Piedmont Regional Community Services Board CurrentSince May 18, 2023 Accepting new patients

Locations

24 Clay St
Martinsville, VA 24112
Phone (276) 632-7128

4346 Starkey Rd
Ste 1
Roanoke, VA 24018

30 Technology Dr
Rocky Mount, VA 24151
Phone (540) 483-0582

22280 Jeb Stuart Hwy
Stuart, VA 24171
Phone (276) 632-7128

98 Wirtz Rd
Wirtz, VA 24184

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": "1685923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1831883842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 CLAY ST",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241122810",
            "telephone_number": "276-632-7128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 TECHNOLOGY DR",
            "city": "ROCKY MOUNT",
            "state": "VA",
            "postal_code": "241513008",
            "telephone_number": "540-483-0582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFILIPPIS",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-05",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904015366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Mount, VA

Sources for this page

Verify at the official NPI Registry.