Amanda Harris, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

255727 Issued in KY

Practice address

2620 Perkins Creek Dr
Paducah, KY 42001-7494

Phone

(270) 444-8465

NPI assigned

Aug 4, 2023

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1691107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1851073175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "828 STATE ROUTE 1763",
            "city": "WINGO",
            "state": "KY",
            "postal_code": "420889356",
            "telephone_number": "270-705-9003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 PERKINS CREEK DR",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420017494",
            "telephone_number": "270-444-8465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "AMANDA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-04",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "255727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy L Harper
• Ryan Anthony Harpole
• Terry Harrell, PHARMACIST
• Lori Harris-Greene, MS, CCC-SLP
• Amalia Maria Harris, MAED., SCLIDP
• James Ian Harris
• Jennifer Brooke Harris, CRNA
• Leaslie Rowshell Harris
• Mary Nanette Harris
• Patrick T Harris, PHD.

• Clinical Social Worker in Paducah, KY
• Providers in Paducah, 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 Oct 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.