Amanda Gay Bordwine-Lieb, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

13486 Issued in MD

Practice address

16 Stillwood Cir
Nottingham, MD 21236-2543

Phone

(410) 598-2100

Fax

(410) 265-1258

NPI assigned

Sep 25, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Amanda Gay Bordwine Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Be Well Bi State Counseling

  • Clinical Social Worker
  • Delmar, DE
  • NPI 1881179273
  NPD (past)

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

{
    "created_epoch": "1285372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310515200000",
    "number": "1902115991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 STILLWOOD CIR",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212362543",
            "telephone_number": "410-598-2100",
            "fax_number": "410-265-1258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 STILLWOOD CIR",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212362543",
            "telephone_number": "410-598-2100",
            "fax_number": "410-265-1258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORDWINE-LIEB",
        "first_name": "AMANDA",
        "middle_name": "GAY",
        "name_prefix": "Mrs.",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-25",
        "last_updated": "2011-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q1-0001050",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "13486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "BORDWINE",
            "middle_name": "GAY",
            "credential": "LCSW-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Andersan M Bloomer, DDS
• Lauren Brooke Blum, DDS
• Charlotte Blunt
• Claire W Bolander, M.D.
• Elizabeth M Bolton, LCSW-C
• Anjolaoluwa Bosede
• Danielle Bostic, LCSW-C
• Christina Marie Boyd, MD
• Monique Boyd, LCSW-C
• Breakthrough Integrative Care LLC

• Clinical Social Worker in Nottingham, MD
• Providers in Nottingham, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.