Active NPI
Amanda Marie Rosenbaum-Oude Alink, LSCSW, LCSW
- Clinical Social Worker
- Kansas City, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2018044949
- Practice address
- 5108 NW 66TH St
Kansas City, MO 64151-1949 - Phone
- (166) 545-8458
- NPI assigned
- Sep 14, 2010
- Last updated
- Dec 4, 2022
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100098080A | Medicaid | KS | |
| 100098080C | Other | KS | SED 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9175 | KS | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Swope Health Services | Current | Accepting new patients | |
| Swope Health Services | Current | Accepting new patients | |
| Vivent Health Inc | Current | 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.
-
- Federally Qualified Health Center (FQHC)
- Kansas City, MO
- NPI 1285404434
-
- Federally Qualified Health Center (FQHC)
- Kansas City, MO
- NPI 1689760076
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Milwaukee, WI
- NPI 1770721607
-
- Clinic/Center
- Milwaukee, WI
- NPI 1982654091
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2022; 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.