Active NPI
Amanda Kennedy, LMSW
- Social Worker
- Nampa, ID
National Provider Identifier
1891328845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LMSW-43697
- Practice address
- 123 N Yale St
Nampa, ID 83651-2340 - Phone
- (208) 585-3375
- Fax
- (208) 585-6152
- NPI assigned
- Feb 18, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | LMSW-43697 | ID | Primary |
Addresses
Primary practice location
123 N Yale St
Nampa, ID 83651-2340
Mailing address
1650 W Targee St Unit 5862
Boise, ID 83705-5635
Phone (707) 815-3015
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
| License | State | Type | Specialty |
|---|---|---|---|
| LMSW-43697 | ID | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mana Resources LLC | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Caldwell, ID
- NPI 1366883605
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744848000000",
"number": "1891328845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1650 W TARGEE ST UNIT 5862",
"city": "BOISE",
"state": "ID",
"postal_code": "837055635",
"telephone_number": "707-815-3015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 N YALE ST",
"city": "NAMPA",
"state": "ID",
"postal_code": "836512340",
"telephone_number": "208-585-3375",
"fax_number": "208-585-6152"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNEDY",
"first_name": "AMANDA",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-02-18",
"last_updated": "2025-04-17",
"certification_date": "2025-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "ID",
"license": "LMSW-43697",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nampa, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.