Amanda Jennings, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

33006469A Issued in IN

Practice address

505 Silhavy Rd
Ste 100
Valparaiso, IN 46383-4461

Phone

(219) 464-1234

Fax

(219) 464-1235

NPI assigned

Jan 31, 2013

Last updated

Mar 30, 2017By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2011

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Jain Counseling Services Inc.

  • Clinical Social Worker
  • Valparaiso, IN
  • NPI 1730639980
  NPD (past)

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

{
    "created_epoch": "1359590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490832000000",
    "number": "1942549670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 SILHAVY RD",
            "address_2": "STE 100",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463834461",
            "telephone_number": "219-464-1234",
            "fax_number": "219-464-1235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 SILHAVY RD",
            "address_2": "STE 100",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463834461",
            "telephone_number": "219-464-1234",
            "fax_number": "219-464-1235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNINGS",
        "first_name": "AMANDA",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-31",
        "last_updated": "2017-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IN",
            "license": "33006469A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33006469A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maylea Rae Jankowski
• Jeannette Colon, M.D., P.C.
• Nicole Jefferson
• Kirk Jenkins
• Jennifer Hippie LCSW, Lcac
• JLD Chiropractic PC
• Christiane Johanssen
• John D Roscoe MD PC
• John L. Havlick, D.D.S.
• John N. Kostidis (Kostidis Chiropractic Clinic)

• Social Worker in Valparaiso, IN
• Providers in Valparaiso, IN by specialty
• Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2017; 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.

Verify at the official NPI Registry.