AMANDA HANSON STANSFIELD LCSW
NPI 1104918424
Social Worker - Clinical in Provo, UT

Q: What is Amanda Stansfield's NPI number?

The NPI number for Amanda Stansfield is 1104918424. It was assigned to this individual provider in the NPPES registry on September 28, 2006.

Q: What is Amanda Stansfield'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 Stansfield was last updated on May 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 September 28, 2006PECOS EnrolledAccepts Medicare Assignment

750 N FREEDOM BLVD, PROVO, UT 84601(801) 373-4760 Get Directions Write a Review

NPPES record last updated: May 10, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Amanda Hanson Stansfield Lcsw NPPES

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

AMANDA HANSON STANSFIELD LCSW (NPI 1104918424) is an individual clinical provider in Provo, Utah, licensed in Utah (5276467-3501) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1104918424

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameAMANDA HANSON STANSFIELDCredential: LCSW

Location Address750 N FREEDOM BLVDProvo, UT 84601-1677

Mailing Address750 N Freedom BlvdProvo, UT 84601-1677 · (801) 373-4760

Phone(801) 373-4760

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateSeptember 28, 2006

Last NPPES UpdateMay 10, 2023

NPPES CertifiedMay 10, 2023

✔ NPI 1104918424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in UT · 5276467-3501

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.

Also ListedSocial WorkerTaxonomy 104100000X · License 5276467-3503 (UT)

750 N FREEDOM BLVD, Provo, UT 84601

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Amanda Hanson Stansfield Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8224388749

PECOS Enrollment IDI20180904003197

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.

Medicare Billing Reassignments

Medicare enrollment records show Amanda Stansfield reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wasatch Behavioral Health Special Service District

Same address

Community/Behavioral Health

750 N FREEDOM BLVD, SUITE 300
Provo, UT 84601

Reassigned Medicare billing, Utah enrollment
141 clinicians in this Medicare group

NPI 1356357115 (801) 373-4760

Chrysalis Utah, LLC

5.7 mi

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

1443 W 800 N, SUITE 103
Orem, UT 84057

Reassigned Medicare billing, Utah enrollment
11 clinicians in this Medicare group

NPI 1891898045 (801) 655-4950

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84601 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 $54.34 – $166.03

Typical copayment $0.00 (range $13.58 – $41.50)

Most-billed visit code NA

Established Patient

$68.01 typical visit price

range $17.23 – $135.20

Typical copayment $17.00 (range $4.30 – $33.80)

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.

ELIZA RACHELLE GEDGE PH.D., LP

Psychologist (Clinical)