Amanda Leigh Roark, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C-11572 Issued in NM

Practice address

4011 Barbara Loop SE Ste 106
Rio Rancho, NM 87124-1040

Phone

(505) 506-8409

NPI assigned

Jun 12, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

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, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Enhancement Center, P.C. 19 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.

• The Enhancement Center, P.C.

  • Mental Health Counselor
  • Albuquerque, NM
  • NPI 1235237801

  Clinical, NM

  Medicare reassignment Care Compare group NPD
• A Childs Voice

  • Community/Behavioral Health Agency
  • Albuquerque, NM
  • NPI 1720495682

  NM

  Medicare reassignment NPD

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

{
    "created_epoch": "1528761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1982197042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10231 COUNTRY MEADOWS DR NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871143512",
            "telephone_number": "505-506-8409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4011 BARBARA LOOP SE STE 106",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241040",
            "telephone_number": "505-506-8409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROARK",
        "first_name": "AMANDA",
        "middle_name": "LEIGH",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-12",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C-11572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zacchary Jozef Rivera, PHARMD
• Elizabeth Rivers, DMD
• Riverside Center for Family and Cosmetic Dentitry
• Riverview Quilt LLC
• Anne Marie Riviere
• Josephine M Roback, PAC
• Lee Michael Robak, MD
• Robben R. Gingery, MD
• Robben R. Gingery, MD, LLC
• Robert C Kerschen, DMD

• All providers in Rio Rancho, NM
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; 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.