Amelia Chenoweth, MS

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW003563 Issued in MO

Practice address

2021 S Waverly Ave Ste 700
Springfield, MO 65804-2400

Phone

(417) 860-8684

NPI assigned

Nov 8, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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 and National Provider Directory roles.

• Paul W. Iles Inc.

  • Clinic/Center
  • Springfield, MO
  • NPI 1518284363
  NPD (past)
• Tynes and Associates, LLC

  • Community/Behavioral Health Agency
  • Springfield, MO
  • NPI 1730449901
  NPD (past)

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301097600000",
    "number": "1871663161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2155 E BERKELEY ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658043336",
            "telephone_number": "417-860-8684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 S WAVERLY AVE STE 700",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658042400",
            "telephone_number": "417-860-8684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHENOWETH",
        "first_name": "AMELIA",
        "name_prefix": "Mrs.",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2011-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "CS001233",
            "primary": false
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "MO",
            "license": "0031844",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "SW003563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "493520852",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "493520837",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Lynn Cheek, M..S. CCC-SLP
• Kamal Preet Cheema, MD
• Amanda Chelednik, MD
• Jinna Su Chen, MD
• Staci Chenot, DMD
• Aparna Cherla, MD
• Gautam Cherla, MD
• Chris E Chernesky, MD
• Cherry Health Center, LLC
• Debbie L. Cherry, PH.D.

• Clinical Social Worker in Springfield, MO
• Providers in Springfield, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2011; 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.