Active NPI
Amanda Briggs Davis, CSW-PIP
- Clinical Social Worker
- Sioux Falls, SD
National Provider Identifier
1922396027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2912
- Practice address
- 2333 W 57TH St Ste 103
Sioux Falls, SD 57108-5054 - Phone
- (605) 271-5640
- NPI assigned
- Jul 11, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2912 | SD | Primary |
Addresses
Primary practice location
2333 W 57TH St Ste 103
Sioux Falls, SD 57108-5054
Mailing address
2333 W 57TH St Ste 103
Sioux Falls, SD 57108-5054
Phone (605) 271-5640
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 192 239 6027 | Medicaid | SD |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://www.wellnesscollectivesd.com | ||
| CONNECT URL | www.wellnesscollectivesd.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2333 W 57TH St
Suite 103
Sioux Falls, SD 57108-5054
Phone (605) 271-5640
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Wellness Collective LLC | Clinical | Current | Accepting new patients |
Locations
2333 W 57th St
Ste 103
Sioux Falls, SD 57108
Phone (605) 271-5640
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625875200000",
"number": "1922396027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2333 W 57TH ST STE 103",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571085054",
"telephone_number": "605-271-5640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2333 W 57TH ST STE 103",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571085054",
"telephone_number": "605-271-5640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "AMANDA",
"middle_name": "BRIGGS",
"credential": "CSW-PIP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-11",
"last_updated": "2021-07-10",
"certification_date": "2021-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "SD",
"license": "2912",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "192 239 6027",
"state": "SD"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://www.wellnesscollectivesd.com",
"affiliation": "N",
"address_1": "2333 W 57th St Ste 103",
"city": "Sioux Falls",
"state": "SD",
"country_code": "US",
"postal_code": "571085054",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.wellnesscollectivesd.com",
"affiliation": "N",
"address_1": "2333 W 57th St Ste 103",
"city": "Sioux Falls",
"state": "SD",
"country_code": "US",
"postal_code": "571085054",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Sioux Falls, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.