Individual provider Active NPI

Amanda Dill, LCSW

  • Social Worker
  • Tewksbury, MA
National Provider Identifier
1962811240
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
14 Apache Way
Tewksbury, MA 01876-4610
Phone
(860) 309-5569
NPI assigned
Aug 12, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

14 Apache Way
Tewksbury, MA 01876-4610

Mailing address

83 Birge St Apt 7
Torrington, CT 06790-5575
Phone (860) 309-5569

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20210210001284 CT Practitioner - Clinical Social Worker 3577978279 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

196 Woodland St
Unit 1C
Bristol, CT 06010-5283
Phone (860) 309-5569

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11330CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Peaceful Mind Behavioral Health & Wellness, LLC CurrentSince Oct 7, 2022 Accepting new patients
Peaceful Mind Behavioral Health & Wellness, LLC CurrentSince Apr 27, 2025 Accepting new patients
Potentilla Therapy PLLC CurrentSince May 1, 2025 Accepting new patients
Step Up Care PC LLC CurrentSince Jan 5, 2021 Accepting new patients

Locations

123 Middle St
Bristol, CT 06010
Phone (860) 281-2280

80 Fern Dr
Torrington, CT 06790
Phone (203) 294-7300

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

Organizations & group practices 4

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": "1407801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750291200000",
    "number": "1962811240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 BIRGE ST APT 7",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067905575",
            "telephone_number": "860-309-5569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 APACHE WAY",
            "city": "TEWKSBURY",
            "state": "MA",
            "postal_code": "018764610",
            "telephone_number": "860-309-5569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILL",
        "first_name": "AMANDA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-12",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tewksbury, MA

Sources for this page

Verify at the official NPI Registry.