Individual provider Active NPI

Amanda L Lockie

  • Clinical Social Worker
  • Ridgecrest, CA
National Provider Identifier
1841562048
Registry record updated May 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
105 E Sydnor Ave Ste 100
Ridgecrest, CA 93555-5546
Phone
(760) 446-6404
Fax
(760) 446-6415
NPI assigned
Feb 2, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Practitioner 225400000X
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

105 E Sydnor Ave Ste 100
Ridgecrest, CA 93555-5546

Mailing address

PO Box 175
Litchfield, CA 96117-0175
Phone (530) 310-4882

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address amandalockie@rrh.medalliesdirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ridgecrest Regional Hospital Current Accepting new patients
Premise Health of Nevada Medical Hinitt PC CurrentSince Aug 5, 2024 Accepting new patients
Premise Health of Nevada Medical Hinitt P C CurrentSince Aug 5, 2024 Accepting new patients

Locations

1081 N China Lake Blvd
Ridgecrest, CA 93555
Phone (760) 446-0616

105 E Sydnor Ave
Ste 100
Ridgecrest, CA 93555
Phone (760) 446-6404

16906 Collections Ctr Dr
Chicago, IL 60693

515 W Haskell St
Winnemucca, NV 89445
Phone (775) 625-4653

5500 Maryland Way
Ste 120
Brentwood, TN 37027

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": "1328140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621296000000",
    "number": "1841562048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 175",
            "city": "LITCHFIELD",
            "state": "CA",
            "postal_code": "961170175",
            "telephone_number": "530-310-4882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 E SYDNOR AVE STE 100",
            "city": "RIDGECREST",
            "state": "CA",
            "postal_code": "935555546",
            "telephone_number": "760-446-6404",
            "fax_number": "760-446-6415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCKIE",
        "first_name": "AMANDA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-02",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amandalockie@rrh.medalliesdirect.net",
            "affiliation": "N",
            "endpointDescription": "RRH Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "105 E Sydnor Ave Ste 100",
            "city": "Ridgecrest",
            "state": "CA",
            "country_code": "US",
            "postal_code": "935555546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ridgecrest, CA

Sources for this page

Verify at the official NPI Registry.