MRS. AMANDA C DUDLEY MSW
NPI 1245051093
Social Worker - Clinical in Holland, MI

Q: What is Amanda Dudley's NPI number?

The NPI number for Amanda Dudley is 1245051093. It was assigned to this individual provider in the NPPES registry on October 23, 2024.

Q: What is Amanda Dudley'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 Dudley was last updated on November 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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 October 23, 2024PECOS EnrolledAccepts Medicare Assignment

602 MICHIGAN AVE, HOLLAND, MI 49423(616) 392-5141(616) 494-4262 Get Directions Write a Review

NPPES record last updated: November 5, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

On this page

About Mrs. Amanda C Dudley Msw NPPES

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

MRS. AMANDA C DUDLEY MSW (NPI 1245051093) is an individual clinical provider in Holland, Michigan, licensed in Michigan (6801118951) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1245051093

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMRS. AMANDA C DUDLEYCredential: MSW

Location Address602 MICHIGAN AVEHolland, MI 49423-4918

Mailing Address602 Michigan AveHolland, MI 49423-4918 · (616) 392-5141 · Fax (616) 494-4262

Phone(616) 392-5141

Fax(616) 494-4262

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateOctober 23, 2024

Last NPPES UpdateNovember 5, 2024

NPPES CertifiedNovember 5, 2024

✔ NPI 1245051093 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 MI · 6801118951

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.

602 MICHIGAN AVE, Holland, MI 49423

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Amanda C Dudley Msw 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 ID9638604697

PECOS Enrollment IDI20241127001905

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 49423 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 – $166.68

Typical copayment $0.00 (range $13.58 – $41.67)

Most-billed visit code NA

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

SUSAN BUIST LMSW

Social Worker (Clinical)