Amanda Abuah, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

55712 Issued in TX

Practice address

10780 Westview Dr
Suite C
Houston, TX 77043-5037

Phone

(713) 932-5230

NPI assigned

Jul 19, 2012

Last updated

Feb 2, 2022By 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

Other names 1

• Amanda Iwobi Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Memorial Hermann Medical Group

  • Family Medicine Physician
  • Fulshear, TX
  • NPI 1003985102
  NPD (past)

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

{
    "created_epoch": "1342656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1851646442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 FROSTWOOD DR",
            "address_2": "SUITE 1.100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242301",
            "telephone_number": "713-338-4523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10780 WESTVIEW DR",
            "address_2": "SUITE C",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770435037",
            "telephone_number": "713-932-5230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABUAH",
        "first_name": "AMANDA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-19",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "55712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "IWOBI",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Nada Abu-Shafe
• Fadi Ismail Abu-Shahin, MD
• Inas Talib Kshash Abu-Tabra, DDS
• Anju Abu, MBBS
• Maureen Abuachi
• Tareq Abuasab, MD
• Christina Sally Abuata, OD
• Mohammed Oladimeji Abubakar, NURSE PRACTITIONER
• Ala Abudayyeh, MD
• Huda Abudayyeh

• Clinical Social Worker in Houston, TX
• Providers in Houston, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; 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.