Active NPI
Amanda Kay Shover, LCSW
- Clinical Social Worker
- Bentonville, AR
National Provider Identifier
1891909883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1814-C
- Practice address
- 2003 SE Walton Blvd
Suite C
Bentonville, AR 72712-3725 - Phone
- (479) 464-8081
- Fax
- (479) 464-0674
- NPI assigned
- May 9, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 1814-C | AR | Primary |
Addresses
Primary practice location
2003 SE Walton Blvd
Suite C
Bentonville, AR 72712-3725
Mailing address
4253 N Crossover Rd
Fayetteville, AR 72703-4593
Phone (479) 521-5731
Other names 1
- Amanda Kay Fincher
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eason Counseling and Associates, LLC | Clinical | Current | 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.
-
- Clinical Social Worker
- Springdale, AR
- NPI 1861834368
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186099200000",
"number": "1891909883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4253 N CROSSOVER RD",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727034593",
"telephone_number": "479-521-5731",
"fax_number": "479-521-6520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2003 SE WALTON BLVD",
"address_2": "SUITE C",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727123725",
"telephone_number": "479-464-8081",
"fax_number": "479-464-0674"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHOVER",
"first_name": "AMANDA",
"middle_name": "KAY",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-09",
"last_updated": "2007-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AR",
"license": "1814-C",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMANDA",
"last_name": "FINCHER",
"middle_name": "KAY",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bentonville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.