Amanda Phannadeth

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW.09931719 Issued in CO

Practice address

6535 S Dayton St Ste 2900
Greenwood Village, CO 80111-6135

Phone

(720) 895-1000

NPI assigned

May 13, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Cornerstone Programs Corporation

  • Mental Health Counselor
  • Greenwood Village, CO
  • NPI 1649867383
  NPD

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

{
    "created_epoch": "1747094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1902697766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10350 DOVER ST APT H26",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800215506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6535 S DAYTON ST STE 2900",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801116135",
            "telephone_number": "720-895-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHANNADETH",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-13",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09931719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie B Peterson, LPC
• Meagan J Petraitis, O.D.
• Cassidy Petri, PA-S
• Jacqueline Marie Pettus, PTA
• Christine A Petty, M.D.
• Pharmaca Integrative Pharmacy, Inc.
• Pharmastay PLLC
• Angela A Phelps, RN
• Philippe G Lopez MD PC
• Christopher William Phillips

• Clinical Social Worker in Greenwood Village, CO
• Providers in Greenwood Village, CO by specialty
• Clinical Social Worker in Colorado

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