Individual provider Active NPI

Amanda Yats

  • Clinical Social Worker
  • Plymouth, MI
National Provider Identifier
1881489003
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801120035 Issued in MI
Practice address
40600 Ann Arbor Rd E Ste 175
Plymouth, MI 48170-4664
Phone
(734) 674-7579
NPI assigned
Apr 9, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801120035 MI Primary

Addresses

Primary practice location

40600 Ann Arbor Rd E Ste 175
Plymouth, MI 48170-4664

Mailing address

4030 Tates Creek Rd Apt 1179
Lexington, KY 40517-3080

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
6801120035MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Plymouth Mental Health Clinical CurrentSince Apr 13, 2025 Accepting new patients

Locations

40600 Ann Arbor Rd E
Ste 175
Plymouth, MI 48170
Phone (734) 674-7579

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1744156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1881489003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4030 TATES CREEK RD APT 1179",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405173080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40600 ANN ARBOR RD E STE 175",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481704664",
            "telephone_number": "734-674-7579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YATS",
        "first_name": "AMANDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-09",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801120035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; 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.