Active NPI
Amanda Gail Page Smith, LCSWA
- Clinical Social Worker
- Walnut Cove, NC
National Provider Identifier
1972425247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- P024078
- Practice address
- 223 North Main St.
Walnut Cove, NC 27052 - Phone
- (336) 310-6727
- NPI assigned
- Jul 28, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | P024078 | NC | Primary |
Addresses
Primary practice location
223 North Main St.
Walnut Cove, NC 27052
Mailing address
PO Box 11321
Winston Salem, NC 27116-1321
Phone (336) 310-6727
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Faith First Christian Counseling | Clinical | Past | Accepting new patients |
| Faithful Living Foundation | Past | Accepting new patients |
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.
-
- Mental Health Counselor
- Walnut Cove, NC
- NPI 1982428744
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1785196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785196800000",
"number": "1972425247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11321",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271161321",
"telephone_number": "336-310-6727",
"fax_number": "336-228-4321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "223 NORTH MAIN ST.",
"city": "WALNUT COVE",
"state": "NC",
"postal_code": "27052",
"telephone_number": "336-310-6727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "AMANDA",
"middle_name": "GAIL PAGE",
"credential": "LCSWA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-07-28",
"last_updated": "2026-07-28",
"certification_date": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P024078",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Walnut Cove, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.