Amanda Ambrose, LCSW
NPI 1396513933ActiveIndividual· Social Worker, Clinical· Bangor, ME
Social Worker, Clinical (LCSW) in Bangor, Maine, licensed in ME, with an NPI issued in December 2023. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1396513933 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW |
| Sole proprietor | No |
| NPI issued | Dec 13, 2023 |
| Last updated in NPPES | Jan 16, 2026 |
| Certified by provider | Jan 16, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | LC25609 | ME |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (ME) |
|---|
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Clinical Social Worker |
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