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Amanda Sharp-Potter

Social Worker β€’ Pekin, IL

Active NPI 1407360902 Individual Practitioner Female Practitioner
Practice location in NPPES

1320 Illinois St
Pekin, IL 615542250

Call 3093475579 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1320 Illinois St

Pekin, IL 615542250

Telephone 3093475579
Organization at the Same NPPES Address or Phone
Tazwood Mental Health Center Facility NPI 1003244724

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Pekin and Illinois

16 active clinicians are listed under Social Worker with a practice address in Pekin, IL (5,884 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Pekin

0% of these 16 clinicians have the CMS telehealth indicator.

0% of these 16 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-03-10
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

3 listed
Edward Betzelberger , LSW

Social Worker - Clinical

NPI 1598190548

Licensed Social Worker

James Potter

Counselor - Mental Health

NPI 1861855918
Kathryn Watson

Social Worker - Clinical

NPI 1679920250

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location March 10, 2023

Registered at 1320 ILLINOIS ST, PEKIN, IL 615542250 (Tel: 3093475579)

πŸ‘€
Provider Name / Credentials Updated March 10, 2023

Recorded as AMANDA SHARP-POTTER

βœ…
NPI Profile Active November 21, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) November 21, 2017

Registered at 3248 VANDEVER AVE, PEKIN, IL 615546257 (Tel: 3093475579)

πŸ“
Business Mailing Address (Initial Record) November 21, 2017

Registered at 3248 VANDEVER AVE, PEKIN, IL 615546257

πŸ‘€
Provider Name / Credentials (Initial Record) November 21, 2017

Recorded as AMANDA SHARP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 21, 2017

Social Worker

🟒
Initial NPI Registration & Enumeration November 21, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1407360902
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 21, 2017
Last Update: March 10, 2023
Sole Proprietor: No

Mailing Address

3248 Vandever Ave

Pekin, IL 615546257

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.