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AMANDA RAE SMITH LICSW
NPI 1700417649
Social Worker - Clinical in Red Wing, MN

Active since January 29, 2020PECOS Enrolled
701 HEWITT BLVD, RED WING, MN 55066(651) 267-5000 Get Directions Write a Review

NPPES record last updated: May 29, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 29, 2025, Jan 29, 2020 (2 updates tracked since 2020).

About Amanda Rae Smith Licsw NPPES

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

AMANDA RAE SMITH LICSW (NPI 1700417649) is an individual clinical provider in Red Wing, Minnesota, licensed in Minnesota (19651) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Rochester, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1700417649
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameAMANDA RAE SMITHCredential: LICSW
Location Address701 HEWITT BLVDRed Wing, MN 55066-2848
Mailing AddressPo Box 860912Minneapolis, MN 55486-0912 · (507) 284-2511
Phone(651) 267-5000
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJanuary 29, 2020
Last NPPES UpdateMay 29, 20252 updates tracked since enumeration
NPPES CertifiedMay 29, 2025
✔ NPI 1700417649 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 MN · 19651
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.
701 HEWITT BLVD, Red Wing, MN 55066
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Secondary Practice Location 1

Location 1200 1st St SWRochester, MN 55905-0001 · Phone (507) 284-2511

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

PECOS PAC ID4880105691
PECOS Enrollment IDI20250618001919
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 55066 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 $56.00 – $168.28
Typical copayment $0.00 (range $14.00 – $42.07)
Most-billed visit code NA
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

DOUGLAS STEVEN LARSEN PA-C
Physician Assistant
701 HEWITT BLVD
RED WING, MN 55066
Goodhue County (651) 267-5000
NATHAN SEVEN MD
Psychiatry & Neurology (Neurology)
701 HEWITT BLVD
RED WING, MN 55066
Goodhue County (507) 377-6285
MEGAN LYNN KINDOM MD
Family Medicine
701 HEWITT BLVD
RED WING, MN 55066
Goodhue County (651) 267-5000
DR. GREGORY A ERICKSON MD
Orthopaedic Surgery
701 HEWITT BLVD
RED WING, MN 55066
Goodhue County (651) 267-5000
MR. CHAD LARRY HANSON MD
Radiology (Diagnostic Radiology)
701 HEWITT BLVD
RED WING, MN 55066
Goodhue County (651) 267-5000
CARRIE WOJICK MD
Family Medicine
701 HEWITT BLVD
RED WING, MN 55066
Goodhue County (651) 267-5000
LORI COPEMAN OT
Occupational Therapist
701 HEWITT BLVD
RED WING, MN 55066
Goodhue County (651) 267-5000
PATRICIA ANN FENSTERMACHER ARNP
Nurse Practitioner
701 HEWITT BLVD
RED WING, MN 55066
Goodhue County (651) 267-5000

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 Smith's NPI number?

The NPI number for Amanda Smith is 1700417649. It was assigned to this individual provider in the NPPES registry on January 29, 2020.

Where is Amanda Smith located?

Amanda Smith practices at 701 Hewitt Blvd, Red Wing, MN 55066. The listed phone number is (651) 267-5000.

What is Amanda Smith's specialty?

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

Is Amanda Smith enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Amanda Smith was last updated on May 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.