MRS. AMANDA LOIS SELF LCSW
NPI 1982957742
Social Worker - Clinical in North Little Rock, AR

Active since October 17, 2012PECOS EnrolledAccepts Medicare Assignment
4354 STOCKTON DR, NORTH LITTLE ROCK, AR 72117(501) 221-1843 Get Directions Write a Review

NPPES record last updated: March 19, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Amanda Lois Self Lcsw NPPES

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

MRS. AMANDA LOIS SELF LCSW (NPI 1982957742) is an individual clinical provider in North Little Rock, Arkansas, licensed in Arkansas (2615-C) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1982957742
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. AMANDA LOIS SELFCredential: LCSW
Location Address4354 STOCKTON DRNorth Little Rock, AR 72117-2917
Mailing AddressPo Box 15968Little Rock, AR 72231-5968 · (501) 221-1843
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateOctober 17, 2012
Last NPPES UpdateMarch 19, 2026
NPPES CertifiedMarch 19, 2026
✔ NPI 1982957742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in AR · 2615-C✔ Licensed in IA · 115983✔ Licensed in OK · 20447
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.
4354 STOCKTON DR, North Little Rock, AR 72117

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Amanda Lois Self 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 ID5092172171
PECOS Enrollment IDI20230605002525
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 Self reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychiatry
5214F DIAMOND HEIGHTS BLVD # 3422
San Francisco, CA 94131
  • Reassigned Medicare billing, Arkansas enrollment
  • 16 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72117 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 $51.36 – $157.74
Typical copayment $0.00 (range $12.84 – $39.43)
Most-billed visit code NA
Established Patient
$64.56 typical visit price
range $16.16 – $128.77
Typical copayment $16.14 (range $4.04 – $32.19)
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.

Case Manager/Care Coordinator
4354 STOCKTON DR
NORTH LITTLE ROCK, AR 72117
Case Manager/Care Coordinator
4354 STOCKTON DR
NORTH LITTLE ROCK, AR 72117
Case Manager/Care Coordinator
4354 STOCKTON DR
NORTH LITTLE ROCK, AR 72117
Social Worker
4354 STOCKTON DR
NORTH LITTLE ROCK, AR 72117
Social Worker
4354 STOCKTON DR
NORTH LITTLE ROCK, AR 72117
Registered Nurse (Psychiatric/Mental Health)
4354 STOCKTON DR
NORTH LITTLE ROCK, AR 72117
Social Worker (Clinical)
4354 STOCKTON DR
NORTH LITTLE ROCK, AR 72117
Counselor (Professional)
4354 STOCKTON DR
NORTH LITTLE ROCK, AR 72117

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 Self's NPI number?

The NPI number for Amanda Self is 1982957742. It was assigned to this individual provider in the NPPES registry on October 17, 2012.

Where is Amanda Self located?

Amanda Self practices at 4354 Stockton Dr, North Little Rock, AR 72117. The listed phone number is (501) 221-1843.

What is Amanda Self's specialty?

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

Is Amanda Self enrolled in Medicare?

Yes. Amanda Self 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.

Which organization bills Medicare for Amanda Self's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Self reassigns Medicare benefits to Brightside Medical Of Michigan PC (San Francisco, CA). 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 Self's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amanda Self accept?

Health plans from UnitedHealthcare list Amanda Self 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 Self was last updated on March 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.