AMANDA SHORE LCSW
NPI 1063142495
Social Worker - Clinical in Richmond, VA

Active since June 17, 2022PECOS Enrolled
107 S 5TH ST, RICHMOND, VA 23219(804) 819-4000(804) 819-5221 Get Directions Write a Review

NPPES record last updated: June 17, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Amanda Shore Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA SHORE LCSW (NPI 1063142495) is an individual clinical provider in Richmond, Virginia, licensed in Virginia (0904008744) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063142495
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameAMANDA SHORECredential: LCSW
Location Address107 S 5TH STRichmond, VA 23219-3825
Mailing Address107 S 5th StRichmond, VA 23219-3825 · (804) 819-4000 · Fax (804) 819-5221
Fax(804) 819-5221
Sole ProprietorNo
Enumeration DateJune 17, 2022
NPPES CertifiedJune 17, 2022
NPI 1063142495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in VA · 0904008744
Definition
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.
107 S 5TH ST, Richmond, VA 23219

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Amanda Shore Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23219 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $56.19 – $170.30
Typical copayment $0.00 (range $14.04 – $42.57)
Most-billed visit code NA
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
107 S 5TH ST
RICHMOND, VA 23219
Counselor (Addiction (Substance Use Disorder))
107 S 5TH ST
RICHMOND, VA 23219
Counselor (Professional)
107 S 5TH ST
RICHMOND, VA 23219
Social Worker (Clinical)
107 S 5TH ST
RICHMOND, VA 23219
Counselor (Professional)
107 S 5TH ST
RICHMOND, VA 23219
Social Worker (Clinical)
107 S 5TH ST
RICHMOND, VA 23219
Social Worker (Clinical)
107 S 5TH ST
RICHMOND, VA 23219
Counselor (Mental Health)
107 S 5TH ST
RICHMOND, VA 23219

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Shore's NPI number?

The NPI number for Amanda Shore is 1063142495. It was assigned to this individual provider in the NPPES registry on June 17, 2022.

Where is Amanda Shore located?

Amanda Shore practices at 107 S 5th St, Richmond, VA 23219. The listed phone number is (804) 819-4000.

What is Amanda Shore's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Amanda Shore enrolled in Medicare?

Yes. Amanda Shore is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Amanda Shore was last updated on June 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.