Individual provider Active NPI

Amanda E Steverman, MSW, LICSW

  • Clinical Social Worker
  • Newton, MA
National Provider Identifier
1982017042
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LICSW123233 Issued in MA
Practice address
109 Oak St Ste 201
Newton, MA 02464-1493
Phone
(617) 977-5372
Fax
(617) 458-8644
NPI assigned
Jun 6, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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 LICSW123233 MA Primary

Addresses

Primary practice location

109 Oak St Ste 201
Newton, MA 02464-1493

Mailing address

109 Oak St Ste 201
Newton, MA 02464-1493
Phone (617) 977-5372

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
LICSW123233MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Inner Panda Counseling and Wellness LLC Current Accepting new patients

Organizations & group practices 1

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": "1402012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1982017042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 OAK ST STE 201",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024641493",
            "telephone_number": "617-977-5372",
            "fax_number": "617-458-8644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 OAK ST STE 201",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024641493",
            "telephone_number": "617-977-5372",
            "fax_number": "617-458-8644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVERMAN",
        "first_name": "AMANDA",
        "middle_name": "E",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-06",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "LICSW123233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.