Amanda Durrell Spaulding, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

PR053077-1 Issued in NY

Practice address

122 W Court St
Suite 109
Ithaca, NY 14850-4165

Phone

(607) 256-4422

NPI assigned

Nov 9, 2008

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1226188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226188800000",
    "number": "1982858676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 W COURT ST",
            "address_2": "SUITE 109",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148504165",
            "telephone_number": "607-256-4422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 W COURT ST",
            "address_2": "SUITE 109",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148504165",
            "telephone_number": "607-256-4422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPAULDING",
        "first_name": "AMANDA",
        "middle_name": "DURRELL",
        "name_prefix": "Ms.",
        "credential": "LCSW-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-09",
        "last_updated": "2008-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "PR053077-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Larry Sorrell, MD
• James Sorrentino, LCSW-R
• Vasudha Venkatesh Sosale
• Johanna Glen Sparks, OT
• Sophie G Sparrow, LMSW, LCSW
• Sara Elizabeth Spencer, LPN
• Nancy Ann Spero, R.N.
• Susannah Cooper Spero, MSN, APRN, FNP-C
• Susan L Spicer, RN
• Spinal Wellness Chiropractic of Ithaca, PC

• Clinical Social Worker in Ithaca, NY
• Providers in Ithaca, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2008; 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.