Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1699485722 Individual Practitioner Female Practitioner

Amanda Lee Wise

Social Worker • Utica, NY

Professional Overview & Biography Verified Profile Summary

Amanda Wise is a registered healthcare professional specializing in Social Worker in Utica, NY. Practice services are available at 624 ELIZABETH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

624 Elizabeth St

Utica, NY 135012413

Telephone 3157326228

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Utica, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.3 Yrs
State Avg: 20.1 Yrs
Regional Practice Density
162 Specialists

Practicing in Utica, NY (23970 Statewide)

Telehealth Adoption Rate
0.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-11-30
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License NY 112404

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
112404 (NY)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
Katie Lipke

Counselor - Mental Health

NPI 1225749377
Christopher Hanrahan , RN

Registered Nurse - Psychiatric/Mental Health

NPI 1336848977

Registered Nurse

Wilson Wells

Counselor - Mental Health

NPI 1346950227
Tracy Sommer

Peer Specialist

NPI 1447961933
Deborah Lein , BA

Counselor - Mental Health

NPI 1649981267

Bachelor of Arts

Charles Zelows

Social Worker - Clinical

NPI 1821647587

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 30, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location November 30, 2022

Registered at 624 ELIZABETH ST, UTICA, NY 135012413 (Tel: 3157326228)

📍
Updated Business Mailing Address November 30, 2022

Registered at 211 SHORE AVE, SYRACUSE, NY 132091123 (Tel: 3159565147)

👤
Provider Name / Credentials Updated November 30, 2022

Recorded as AMANDA WISE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 30, 2022

Social Worker (License #112404 in NY)

🟢
Initial NPI Registration & Enumeration November 30, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1699485722
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 30, 2022
Last Update: November 30, 2022
Sole Proprietor: No

Mailing Address

211 Shore Ave

Syracuse, NY 132091123

Phone: 3159565147

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.