Individual provider Active NPI

Amanda Marie Coonrod, LSCSW

  • Clinical Social Worker
  • Lawrence, KS
National Provider Identifier
1912189853
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4398 Issued in KS
Practice address
346 Maine St Ste D
Lawrence, KS 66044-2263
Phone
(785) 243-6310
NPI assigned
Dec 3, 2007
Last updated
Jul 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2026

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 4398 KS Primary

Addresses

Primary practice location

346 Maine St Ste D
Lawrence, KS 66044-2263

Mailing address

346 Maine St Ste D
Lawrence, KS 66044-2263
Phone (785) 243-6310

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4398KSMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783641600000",
    "number": "1912189853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "346 MAINE ST STE D",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660442263",
            "telephone_number": "785-243-6310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "346 MAINE ST STE D",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660442263",
            "telephone_number": "785-243-6310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COONROD",
        "first_name": "AMANDA",
        "middle_name": "MARIE",
        "credential": "LSCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-03",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "4398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

Verify at the official NPI Registry.