AMANDA DOUGLAS (NPI# 1083065999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083065999 |
| Entity Type | Individual |
| Full Name | AMANDA DOUGLAS |
| Credential | LCSW |
| Practice Address |
500 E 19th St Mountain Grove MO 65711-1114 |
| Practice Telephone | 4179266563 |
| Practice Fax Number | 4179265820 |
| Mailing Telephone | 4179266563 |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2019-02-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
MO | Behavioral Health & Social Service Providers | |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
2016016660 | MO | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902315906 | Amanda Douglas | Speech-Language Pathologist | 12371 S. Kirkwood Rd, Stafford, TX 77477 | 2017-09-22 |
| 1386122869 | Amanda N Douglas | Physician Assistant | 1908 N Beale Rd Ste E, Marysville, CA 95901-6937 | 2018-08-06 |
| 1891248282 | Amanda Douglas | Counselor | 2600 Greenbush St, Lafayette, IN 47904-2477 | 2016-08-02 |
| 1053701805 | Amanda Douglas | Pharmacy Technician | 9901 York Rd, Cockeysville, MD 21030-3407 | 2015-02-02 |
| 1477786671 | Amanda Anne Douglas | Case Manager/Care Coordinator | 805 Tijeras Ave Nw, Albuquerque, NM 87102-3099 | 2009-09-03 |
| 1093861973 | Amanda A Douglas | Pharmacist | 3600 30th St, Des Moines, IA 50310-5753 | 2007-01-25 |
| Street Address |
500 E 19TH ST |
| City | MOUNTAIN GROVE |
| State | MO |
| Zip Code | 65711-1114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467549865 | Jennifer L Lambert | Family Medicine | 500 E 19th St, Mountain Grove, MO 65711-1114 | 2006-10-06 |
| 1356814875 | Nancy Lynne Meesey | Physical Therapist | 500 E 19th St, Mountain Grove, MO 65711-1114 | 2019-01-08 |
| 1972012854 | Adam Cole Mattison | Nurse Practitioner | 500 E 19th St, Mountain Grove, MO 65711-1114 | 2017-09-24 |
| 1073971966 | Julie Renae Posey | Social Worker | 500 E 19th St, Mountain Grove, MO 65711-1114 | 2016-02-05 |
| 1619358306 | Kendra Rasmussen | Registered Nurse | 500 E 19th St, Mountain Grove, MO 65711 | 2015-06-18 |
| 1730593286 | Golda Cain | Counselor | 500 E 19th St, Mountain Grove, MO 65711-1114 | 2014-06-12 |
| 1699100255 | Paul E. Burris | Nurse Practitioner | 500 E 19th St, Mountain Grove, MO 65711-1114 | 2013-09-13 |
| 1285910869 | Stephanie Renae Gerlek | Social Worker | 500 E 19th St, Mountain Grove, MO 65711-1114 | 2011-10-27 |
| 1528119922 | Colleen Haynie | Nurse Practitioner | 500 E 19th St, Mountain Grove, MO 65711-1114 | 2007-01-15 |
| 1366511289 | Samuel Aaron Newton | Family Medicine | 500 E 19th St, Mountain Grove, MO 65711-1114 | 2006-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912476300 | Spurling and White LLC | Nurse Practitioner | 100 W. 17th Street, Ste D, Mountain Grove, MO 65711 | 2018-11-15 |
| 1699255299 | Regional Services | Nurse Practitioner | 320 E 9th St, Mountain Grove, MO 65711 | 2018-08-14 |
| 1518342153 | Douglas County Public Health Services Group, Inc. | Clinic/Center | 1604 C. North Main Street, Mountain Grove, MO 65711 | 2015-07-24 |
| 1265754501 | Texas County Memorial Hospital | Clinic/Center | 1905 West 19th Street, Mountain Grove, MO 65711 | 2010-02-26 |
| 1376679423 | Ozarks Medical Center | Clinic/Center | 500 East 19th Street, Suite A, Mountain Grove, MO 65711 | 2007-02-25 |
| 1508917949 | Connie Armstrong | Nurse Practitioner | 1604 N. Main, Mountain Grove, MO 65711 | 2007-01-14 |
| 1659474930 | Cheryl J Bell | Nurse Practitioner | 1602-a N. Main, Mtn. Grove, MO 65711 | 2006-09-05 |
| 1114035870 | Tommy Dean Todd | Dentist | 901 North Main, Mountain Grove, MO 65711 | 2006-08-25 |
| 1376505230 | Community Hospices of America, LLC | Hospice Care, Community Based | 1602c N Main St, Mountain Grove, MO 65711 | 2006-04-05 |
| 1972573699 | Mountain Grove Medical and Laser Center Inc | General Practice | 601 N Busch Ave, Mountain Grove, MO 65711 | 2006-01-25 |
| Find all providers in zip 65711 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073971966 | Julie Renae Posey | Social Worker | 500 E 19th St, Mountain Grove, MO 65711-1114 | 2016-02-05 |
| 1285910869 | Stephanie Renae Gerlek | Social Worker | 500 E 19th St, Mountain Grove, MO 65711-1114 | 2011-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447701 | Constance Fulks | Social Worker | 1141 Wooden Dr, Florissant, MO 63033-5954 | 2020-11-03 |
| 1447850870 | Convergence Counseling Services, LLC | Social Worker | 7612 E 113th St, Kansas City, MO 64134-2946 | 2020-10-26 |
| 1336748599 | Meghan Lyn Mallams | Social Worker | 28 Westwoods Dr Ste 107, Liberty, MO 64068-3520 | 2020-10-20 |
| 1639777154 | Keisa D. Baker | Social Worker | 7716 Arlington Ave, Raytown, MO 64138-1654 | 2020-10-16 |
| 1811595697 | Sarah Nicole Bailey | Social Worker | 27759 Rock Ave, Bell City, MO 63735-8111 | 2020-10-13 |
| 1629676929 | Katrina Louise Routh | Social Worker | 1310 E Kingsley St Ste B, Springfield, MO 65804-7238 | 2020-10-09 |
| 1184221368 | Deborah L Tannenbaum, Lcsw, LLC | Social Worker | 3000 Arrow Rock Dr, Saint Charles, MO 63303-6502 | 2020-10-01 |
| 1407463706 | Allison Nichole Kemble | Social Worker | 806 Shawn Ct, Centralia, MO 65240-4320 | 2020-09-30 |
| 1336756949 | Megan Krystal Draper | Social Worker | 8425 Locust St, Kansas City, MO 64131-2223 | 2020-09-28 |
| 1730796541 | Angelita Pritchett | Social Worker | 908 Glencoe, Park Hills, MO 63601-1931 | 2020-09-25 |
| Find all providers with the same taxonomy | ||||
| City | MOUNTAIN GROVE |
| Zip Code | 65711 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.