Individual provider Active NPI

Amanda Wilhelm, LMSW

  • Social Worker
  • Highland, NY
National Provider Identifier
1861102782
Registry record updated Dec 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
115990 Issued in NY
Practice address
7 Park LN
Highland, NY 12528-2823
Phone
(845) 486-2703
NPI assigned
Dec 1, 2022
Last updated
Dec 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 115990 NY Primary

Addresses

Primary practice location

7 Park LN
Highland, NY 12528-2823

Mailing address

29 N Hamilton St
Poughkeepsie, NY 12601-2541
Phone (845) 486-2703

Other practice location 1

239 Golden Hill Ln
Kingston, NY 12401-6452
Phone (845) 486-2703

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
115990NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Family Services, Inc. CurrentSince Dec 6, 2022 Accepting new patients

Locations

7 Park Ln
Highland, NY 12528

29 N Hamilton St
Poughkeepsie, NY 12601
Phone (845) 452-1110

239 Golden Hill Ln
Saint Remy, NY 12401
Phone 84534040004189

Interoperability endpoints

  • Direct secure messaging: amanda.wilhelm.p1@direct.valerahealth.nextgenshare.com

Organizations & group practices 1

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": "1669852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669852800000",
    "number": "1861102782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 N HAMILTON ST",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126012541",
            "telephone_number": "845-486-2703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 PARK LN",
            "city": "HIGHLAND",
            "state": "NY",
            "postal_code": "125282823",
            "telephone_number": "845-486-2703"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "239 Golden Hill Ln",
            "address_purpose": "LOCATION",
            "city": "Kingston",
            "state": "NY",
            "postal_code": "124016452",
            "country_code": "US",
            "telephone_number": "845-486-2703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILHELM",
        "first_name": "AMANDA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-01",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "115990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.