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AMANDA KERN
NPI 1346837366
Social Worker in Patchogue, NY

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: October 25, 2026.

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.

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
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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda Kern 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.

Medicare Billing Reassignment

Medicare enrollment records show Amanda Kern reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Long Island Select Healthcare, Inc.
8.6 mi
Federally Qualified Health Center (FQHC)
159 CARLETON AVE
Central Islip, NY 11722
  • Reassigned Medicare billing, New York enrollment
  • 70 clinicians in this Medicare group
NPI 1043663107 (631) 650-2510

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

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
456 WAVERLY AVE
PATCHOGUE, NY 11772
Suffolk County (631) 447-6460
KELLY L DEAN LCSW
Social Worker (Clinical)
456 WAVERLY AVE
PATCHOGUE, NY 11772
Suffolk County (631) 447-6460
SHERRILEE PARTISS LMSW
Social Worker
456 WAVERLY AVE
PATCHOGUE, NY 11772
Suffolk County (631) 447-6460
JAMIE LYN FLEMING LMSW
Social Worker
456 WAVERLY AVE
PATCHOGUE, NY 11772
Suffolk County (631) 447-6460
RISEWELL COMMUNITY SERVICES
Community/Behavioral Health
456 WAVERLY AVE
PATCHOGUE, NY 11772
Suffolk County (631) 447-6460
JENNIFER NEITHERCUT
Social Worker
456 WAVERLY AVE
PATCHOGUE, NY 11772
Suffolk County (631) 447-6460
MRS. MICHELE GRAZIANO F. GRAZIANO CASAC
Counselor (Addiction (Substance Use Disorder))
456 WAVERLY AVE
PATCHOGUE, NY 11772
Suffolk County (631) 477-6460
ALYSON N HEIMANN
Social Worker
456 WAVERLY AVE
PATCHOGUE, NY 11772
Suffolk County (631) 447-6460

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 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.

Where is Amanda Kern located?

Amanda Kern practices at 456 Waverly Ave, Patchogue, NY 11772. The listed phone number is (631) 447-6460.

What is Amanda Kern's specialty?

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

Is Amanda Kern enrolled in Medicare?

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

Which organization bills Medicare for Amanda Kern's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Kern reassigns Medicare benefits to Long Island Select Healthcare, Inc. (Central Islip, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amanda Kern's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.