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AMANDA MARIE DEREWICZ LCSW
NPI 1366261695
Social Worker - Clinical in Greenfield, WI

Active since October 03, 2024PECOS EnrolledAccepts Medicare Assignment
4131 W LOOMIS RD APT 120, GREENFIELD, WI 53221(414) 424-2445(414) 424-2446 Get Directions Write a Review

NPPES record last updated: October 10, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 10, 2024, Oct 3, 2024 (2 updates tracked since 2024).

About Amanda Marie Derewicz Lcsw NPPES

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

AMANDA MARIE DEREWICZ LCSW (NPI 1366261695) is an individual clinical provider in Greenfield, Wisconsin, licensed in Wisconsin (11512-123) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1366261695
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameAMANDA MARIE DEREWICZCredential: LCSW
Location Address4131 W LOOMIS RD APT 120Greenfield, WI 53221-2006
Mailing Address1900 Silver Lake Rd Nw Ste 110New Brighton, MN 55112-1789 · (651) 628-9566 · Fax (651) 628-0411
Phone(414) 424-2445
Fax(414) 424-2446
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 3, 2024
Last NPPES UpdateOctober 10, 20242 updates tracked since enumeration
NPPES CertifiedOctober 10, 2024
✔ NPI 1366261695 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 WI · 11512-123
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.
4131 W LOOMIS RD APT 120, Greenfield, WI 53221
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, HealthPartners, Medica 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

Amanda Marie Derewicz 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 ID3971037763
PECOS Enrollment IDI20241115002792
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 53221 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 $53.90 – $163.24
Typical copayment $0.00 (range $13.47 – $40.81)
Most-billed visit code NA
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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 6

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

STACY S ROHLEDER
Counselor (Mental Health)
4131 W LOOMIS RD APT 120
GREENFIELD, WI 53221
Milwaukee County (414) 424-2445
AURORA MALA LPC
Counselor (Professional)
4131 W LOOMIS RD APT 120
GREENFIELD, WI 53221
Milwaukee County (414) 424-2445
SAMANTHA LYNN KLOCKOW PSYD, LP
Psychologist (Clinical)
4131 W LOOMIS RD APT 120
GREENFIELD, WI 53221
Milwaukee County (414) 424-2445
PATRICIA M MENDOZA APSW
Social Worker (Clinical)
4131 W LOOMIS RD APT 120
GREENFIELD, WI 53221
Milwaukee County (414) 424-2445
CHARLES L DALE
Counselor (Mental Health)
4131 W LOOMIS RD APT 120
GREENFIELD, WI 53221
Milwaukee County (414) 424-2445
JAZMIN CHRISTINE BINNS LCSW
Social Worker (Clinical)
4131 W LOOMIS RD APT 120
GREENFIELD, WI 53221
Milwaukee County (414) 424-2445

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 Derewicz's NPI number?

The NPI number for Amanda Derewicz is 1366261695. It was assigned to this individual provider in the NPPES registry on October 3, 2024.

Where is Amanda Derewicz located?

Amanda Derewicz practices at 4131 W Loomis Rd Apt 120, Greenfield, WI 53221. The listed phone number is (414) 424-2445.

What is Amanda Derewicz's specialty?

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

Is Amanda Derewicz enrolled in Medicare?

Yes. Amanda Derewicz is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Amanda Derewicz accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners, Medica, Quartz and Security Health Plan and 1 other insurer list Amanda Derewicz as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Amanda Derewicz was last updated on October 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.