Individual provider Active NPI

Amanda Christine Arya, LCSW

  • Clinical Social Worker
  • Reno, NV
National Provider Identifier
1982192639
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11766-C Issued in NV
Practice address
7505 Bluestone Dr
Reno, NV 89511-1324
Phone
(775) 464-0929
NPI assigned
Apr 27, 2018
Reactivated
Oct 17, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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 11766-C NV Primary

Addresses

Primary practice location

7505 Bluestone Dr
Reno, NV 89511-1324

Mailing address

2629 Portland St Apt 104B
Los Angeles, CA 90007-4818
Phone (313) 285-0098

Other names 1

  • Amanda Christine Enders Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20251017001679 NV Practitioner - Clinical Social Worker 7911494356 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

11500 S Eastern Ave
Suite 150
Henderson, NV 89052-5576

7505 Bluestone Dr
Reno, NV 89511-1324

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11766-CNVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Urban Healthy Minds, LLC CurrentSince Jul 20, 2025 Accepting new patients
Nevada Urban Indians, Inc. PastSince Oct 20, 2024 Accepting new patients
Alta Vista Mental Health LLC PastSince Sep 6, 2024 Accepting new patients

Locations

11500 S Eastern Ave
Ste 150
Henderson, NV 89052
Phone (702) 552-7138

Organizations & group practices 3

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": "1524787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1982192639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2629 PORTLAND ST APT 104B",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900074818",
            "telephone_number": "313-285-0098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7505 BLUESTONE DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895111324",
            "telephone_number": "775-464-0929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARYA",
        "first_name": "AMANDA",
        "middle_name": "CHRISTINE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-27",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "deactivation_date": "2023-10-11",
        "reactivation_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "11766-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "ENDERS",
            "middle_name": "CHRISTINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.