Individual provider Active NPI

Amanda Lee Wood, LCSW

  • Clinical Social Worker
  • McHenry, IL
National Provider Identifier
1952107724
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.028146 Issued in IL
Practice address
5320 W Elm St
McHenry, IL 60050-4029
Phone
(815) 200-8520
NPI assigned
Feb 21, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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 149.028146 IL Primary

Addresses

Primary practice location

5320 W Elm St
McHenry, IL 60050-4029

Mailing address

714 Wright Ave
McHenry, IL 60051-9417
Phone (847) 337-0810

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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

Enrollment IDStateProvider typePAC IDDetails
I20251110000073 IL Practitioner - Clinical Social Worker 7214442599 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

256 Stonegate Rd
Trout Valley, IL 60013-2524

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.028146ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Thriving Sparrow Counseling & Wellness, PLLC Clinical CurrentSince Oct 14, 2025 Accepting new patients
Thriving Sparrow Counseling & Wellness, PLLC CurrentSince Oct 14, 2025 Accepting new patients

Locations

5320 W Elm St
McHenry, IL 60050
Phone (815) 200-8520

1801 Woodfield Dr
Ste 102
Savoy, IL 61874
Phone (815) 200-8520

Organizations & group practices 2

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": "1740096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1952107724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 WRIGHT AVE",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600519417",
            "telephone_number": "847-337-0810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5320 W ELM ST",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600504029",
            "telephone_number": "815-200-8520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "AMANDA",
        "middle_name": "LEE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-21",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.028146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McHenry, IL

Sources for this page

Verify at the official NPI Registry.