AMANDA DOUGLAS LCSW
NPI 1083065999
Social Worker - Clinical in Mountain Grove, MO

Q: What is Amanda Douglas's NPI number?

The NPI number for Amanda Douglas is 1083065999. It was assigned to this individual provider in the NPPES registry on June 22, 2016.

Q: What is Amanda Douglas's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Amanda Douglas was last updated on February 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since June 22, 2016

100/100

CMS Quality Rating

500 E 19TH ST, MOUNTAIN GROVE, MO 65711(417) 926-6563(417) 926-5820 Get Directions Write a Review

NPPES record last updated: February 11, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 11, 2019, Jun 22, 2016 (2 updates tracked since 2016).

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About Amanda Douglas Lcsw NPPES

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

AMANDA DOUGLAS LCSW (NPI 1083065999) is an individual clinical provider in Mountain Grove, Missouri, licensed in Missouri (2016016660) and active in the NPI registry since June 2016.

NPPES Registry Identity

NPI1083065999

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameAMANDA DOUGLASCredential: LCSW

Location Address500 E 19TH STMountain Grove, MO 65711-1114

Mailing Address500 E 19th StMountain Grove, MO 65711-1114 · (417) 926-6563

Phone(417) 926-6563

Fax(417) 926-5820

Sole ProprietorNo

Enumeration DateJune 22, 2016

Last NPPES UpdateFebruary 11, 20192 updates tracked since enumeration

✔ NPI 1083065999 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 MO · 2016016660

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.

500 E 19TH ST, Mountain Grove, MO 65711

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Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

Improvement Activities

Other Providers at the Same Location NPPES 12

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

JULIE RENAE POSEY LCSW

Social Worker (Clinical)