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MRS. AMANDA RENEE SOUTHERN LMSW
NPI 1982945549
Social Worker - Clinical in Otisville, MI

Active since March 07, 2013PECOS EnrolledAccepts Medicare Assignment
275 S STATE RD, OTISVILLE, MI 48463(810) 922-7700 Get Directions Write a Review

NPPES record last updated: May 17, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 17, 2022, Jul 1, 2016 (2 updates tracked since 2016).

About Mrs. Amanda Renee Southern Lmsw NPPES

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

MRS. AMANDA RENEE SOUTHERN LMSW (NPI 1982945549) is an individual clinical provider in Otisville, Michigan, licensed in Michigan (6801094249) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS, maintains a secondary practice location in Flint, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1982945549
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. AMANDA RENEE SOUTHERNCredential: LMSW
Location Address275 S STATE RDOtisville, MI 48463-8436
Mailing Address275 S State RdOtisville, MI 48463-8436 · (810) 922-7700
Phone(810) 922-7700
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateMarch 7, 2013
Last NPPES UpdateMay 17, 20222 updates tracked since enumeration
NPPES CertifiedMay 17, 2022
✔ NPI 1982945549 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 MI · 6801094249
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.
275 S STATE RD, Otisville, MI 48463
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Secondary Practice Location 1

Location 1929 Stevens StFlint, MI 48502-1620 · Phone (810) 232-6081 · Fax (810) 232-6510

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community 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

Mrs. Amanda Renee Southern Lmsw 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 ID6709194913
PECOS Enrollment IDI20151007001252
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 48463 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 $54.34 – $166.68
Typical copayment $0.00 (range $13.58 – $41.67)
Most-billed visit code NA
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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

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

TRANQUIL LIFE COUNSELING LLC
Counselor (Mental Health)
275 S STATE RD
OTISVILLE, MI 48463
Genesee County (810) 374-6115

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 Southern's NPI number?

The NPI number for Amanda Southern is 1982945549. It was assigned to this individual provider in the NPPES registry on March 7, 2013.

Where is Amanda Southern located?

Amanda Southern practices at 275 S State Rd, Otisville, MI 48463. The listed phone number is (810) 922-7700.

What is Amanda Southern's specialty?

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

Is Amanda Southern enrolled in Medicare?

Yes. Amanda Southern 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 Southern accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community, Priority Health and Providence Health Plan list Amanda Southern 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 Southern was last updated on May 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.