Amanda Sheree Powell, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.023038 Issued in IL

Practice address

34 N Main St
St Augustine, IL 61474-9800

Phone

(309) 351-8584

NPI assigned

May 8, 2021

Sex

Female

Sole proprietor

Yes

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.

• Amanda Powell Psychotherapy and Social Work Consulting Services PL

  • Clinical Social Worker
  • St Augustine, IL
  • NPI 1922743608

  Clinical, IL

  Medicare reassignment NPD Authorized official

Specialty

Clinical Social Worker

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 14, 2024.

{
    "created_epoch": "1620432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1962086744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 COOPER ST",
            "city": "ST AUGUSTINE",
            "state": "IL",
            "postal_code": "61474",
            "telephone_number": "309-333-0293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 N MAIN ST",
            "city": "ST AUGUSTINE",
            "state": "IL",
            "postal_code": "614749800",
            "telephone_number": "309-351-8584"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "43 Cooper Street",
            "address_purpose": "LOCATION",
            "city": "Saint Augustine",
            "state": "IL",
            "postal_code": "614740113",
            "country_code": "US",
            "telephone_number": "309-333-0293",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POWELL",
        "first_name": "AMANDA",
        "middle_name": "SHEREE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-08",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.023038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Powell Psychotherapy and Social Work Consulting Services PL
• Julie Ann McFetridge

• All providers in St Augustine, IL
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; 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.