Individual provider Active NPI

Amanda Rosales Rowe, CERTIFIED MSW

  • Social Worker
  • Mayfield, KY
National Provider Identifier
1861279564
Registry record updated Sep 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
258237 Issued in KY
Practice address
1253 Paris Rd Ste a
Mayfield, KY 42066-4989
Phone
(270) 247-2455
Fax
(270) 247-7841
NPI assigned
Sep 14, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2023

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 258237 KY Primary

Addresses

Primary practice location

1253 Paris Rd Ste a
Mayfield, KY 42066-4989

Mailing address

Marion VA Health Care System
2401 West Main Street
Marion, IL 62959
Phone (866) 289-3300

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
258237KYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1694649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1861279564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MARION VA HEALTH CARE SYSTEM",
            "address_2": "2401 WEST MAIN STREET",
            "city": "MARION",
            "state": "IL",
            "postal_code": "62959",
            "telephone_number": "866-289-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1253 PARIS RD STE A",
            "city": "MAYFIELD",
            "state": "KY",
            "postal_code": "420664989",
            "telephone_number": "270-247-2455",
            "fax_number": "270-247-7841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROWE",
        "first_name": "AMANDA",
        "middle_name": "ROSALES",
        "credential": "CERTIFIED MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-14",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KY",
            "license": "258237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayfield, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.