AMANDA KERN
NPI 1346837366
Social Worker in Patchogue, NY

Q: What is Amanda Kern's NPI number?

The NPI number for Amanda Kern is 1346837366. It was assigned to this individual provider in the NPPES registry on December 23, 2020.

Q: What is Amanda Kern's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Kern was last updated on December 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 December 23, 2020PECOS Enrolled

456 WAVERLY AVE, PATCHOGUE, NY 11772(631) 447-6460(631) 289-7098 Get Directions Write a Review

NPPES record last updated: December 23, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Amanda Kern NPPES

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

AMANDA KERN (NPI 1346837366) is an individual social worker in Patchogue, New York, licensed in New York (111318) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1346837366

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameAMANDA KERN

Location Address456 WAVERLY AVEPatchogue, NY 11772-1586

Mailing Address456 Waverly AvePatchogue, NY 11772-1586 · (631) 447-6460 · Fax (631) 289-7098

Phone(631) 447-6460

Fax(631) 289-7098

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateDecember 23, 2020

NPPES CertifiedDecember 23, 2020

✔ NPI 1346837366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in NY · 111318

Definition

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.

456 WAVERLY AVE, Patchogue, NY 11772

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

PECOS PAC ID749780567

PECOS Enrollment IDI20250825003817

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.

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.

SHANNON MIELE

Social Worker