Amanda Conlon, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

000123923 Issued in MA

Practice address

203 Turnpike St
North Andover, MA 01845-5042

Phone

(978) 475-4522

NPI assigned

Aug 23, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Amanda Nortrup Former name

Medicare fee-for-service enrollment

Enrolled in MA

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, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Optum Behavioral Care of Connecticut PCGroup PAC ID 9436502879, 132 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Optum Behavioral Care of Connecticut, P.C.

  • Counseling Psychologist
  • Newburyport, MA
  • NPI 1831970904
  Medicare reassignment Care Compare group NPD
• Optum Behavioral Care of Connecticut, P.C.

  • Clinical Social Worker
  • Providence, RI
  • NPI 1730972944
  NPD

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

{
    "created_epoch": "1629676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1962179580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225C FALLON RD APT 370",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021802932",
            "telephone_number": "781-367-9128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 TURNPIKE ST",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018455042",
            "telephone_number": "978-475-4522"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 Shattuck Rd Ste 250",
            "address_purpose": "LOCATION",
            "city": "Andover",
            "state": "MA",
            "postal_code": "018102456",
            "country_code": "US",
            "telephone_number": "978-222-3121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONLON",
        "first_name": "AMANDA",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-23",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "000123923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "NORTRUP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Carmen P Colon
• Commonwealth Senior Care, LLC
• Comprehensive Primary Allcare Inc.
• Kassandra Condon, AU.D.
• Dalyn Conley, NP-C
• Connective Counseling and Educational Supports
• Katie Marie Conneely
• Christina Connelly, CPNP
• Emily Kristin Connelly
• Jenna Connolly, FNP-BC

• Clinical Social Worker in North Andover, MA
• Providers in North Andover, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; 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.