AMANDA WYATT LMSW
NPI 1861099467
Social Worker - Clinical in New York, NY

Q: What is Amanda Wyatt's NPI number?

The NPI number for Amanda Wyatt is 1861099467. It was assigned to this individual provider in the NPPES registry on October 6, 2020.

Q: What is Amanda Wyatt'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 Wyatt was last updated on March 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 06, 2020PECOS Enrolled

57 W 57TH ST STE 1101, NEW YORK, NY 10019(800) 381-7340 Get Directions Write a Review

NPPES record last updated: March 5, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 5, 2026, Jun 8, 2023, Oct 6, 2020 (3 updates tracked since 2020).

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About Amanda Wyatt Lmsw NPPES

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

AMANDA WYATT LMSW (NPI 1861099467) is an individual clinical provider in New York, New York, licensed in New York (102333) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in New York, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1861099467

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameAMANDA WYATTCredential: LMSW

Location Address57 W 57TH ST STE 1101New York, NY 10019-2814

Mailing Address279 E 44th St Apt 15cNew York, NY 10017-4353 · (646) 853-2445

Phone(800) 381-7340

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateOctober 6, 2020

Last NPPES UpdateMarch 5, 20263 updates tracked since enumeration

NPPES CertifiedMarch 5, 2026

✔ NPI 1861099467 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 NY · 102333

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.

57 W 57TH ST STE 1101, New York, NY 10019

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Secondary Practice Location 1

Location 1279 E 44th St Apt 15CNew York, NY 10017-4353 · Phone (646) 853-2445

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

PECOS PAC ID2668957903

PECOS Enrollment IDI20260403001064

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 10019 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 $65.69 – $198.19

Typical copayment $0.00 (range $16.42 – $49.54)

Most-billed visit code NA

Established Patient

$81.44 typical visit price

range $21.20 – $160.66

Typical copayment $20.36 (range $5.30 – $40.16)

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.

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Other Providers at the Same Location NPPES 12

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

SANCTUARY PSYCHOLOGY

Clinic/Center (Adult Mental Health)