Individual provider Active NPI

Amanda Marie Rosenbaum-Oude Alink, LSCSW, LCSW

  • Clinical Social Worker
  • Kansas City, MO
National Provider Identifier
1912215864
Registry record updated Dec 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2018044949 Issued in MO
Practice address
5108 NW 66TH St
Kansas City, MO 64151-1949
Phone
(166) 545-8458
NPI assigned
Sep 14, 2010
Last updated
Dec 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 9175 KS
Social Worker 104100000X NU
Clinical Social Worker 1041C0700X 2018044949 MO Primary

Addresses

Primary practice location

5108 NW 66TH St
Kansas City, MO 64151-1949

Mailing address

5108 NW 66TH St
Kansas City, MO 64151-1949
Phone (166) 545-8458

Other practice location 1

1301 N 47th St
Kansas City, KS 66102-1705
Phone (913) 328-4600

Other identifiers 2

IdentifierTypeStateIssuer
100098080AMedicaidKS
100098080COtherKSSED WAIVER

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
9175KSMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Swope Health Services CurrentSince Jul 1, 2024 Accepting new patients
Swope Health Services CurrentSince Jul 1, 2024 Accepting new patients
Vivent Health Inc CurrentSince Dec 1, 2022 Accepting new patients
Vivent Health Inc Current Accepting new patients

Locations

17844 E 23rd St S
Independence, MO 64057
Phone (816) 257-9716

3801 Dr Martin Luther King Jr Blvd
Kansas City, MO 64130
Phone (816) 599-5500

4309 E 50th Ter
Kansas City, MO 64130
Phone (816) 561-8784

4309 E 50th Ter
Ste 200
Kansas City, MO 64130
Phone (816) 561-8784

2653 Locust St
Saint Louis, MO 63103
Phone (314) 645-6451

648 N Plankinton Ave
Ste 200
Milwaukee, WI 53203

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1284422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670112000000",
    "number": "1912215864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5108 NW 66TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641511949",
            "telephone_number": "166-545-8458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5108 NW 66TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641511949",
            "telephone_number": "166-545-8458"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 N 47th St",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "KS",
            "postal_code": "661021705",
            "country_code": "US",
            "telephone_number": "913-328-4600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSENBAUM-OUDE ALINK",
        "first_name": "AMANDA",
        "middle_name": "MARIE",
        "credential": "LSCSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-14",
        "last_updated": "2022-12-04",
        "certification_date": "2022-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "9175",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2018044949",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100098080A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SED WAIVER",
            "identifier": "100098080C",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.