Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Amanda Cowart Derham, LCSW

Individual provider Mental Health Counselor · NPI 1477049930

Amanda Cowart Derham, LCSW is a Clinical Social Worker in Springfield, Missouri. Qualified in 2006, 20 years ago. Practices with Advocates for a Healthy Community Inc, a 56-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
20
Licensed in
MO
In the registry since
2018
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

1300 E Bradford Pkwy
Springfield, MO 65804
Phone: (417) 761-5000
Fax: (417) 761-5065
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 2006025361 (MO)

Record details

NPI number1477049930
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJuly 9, 2018
Last updated in NPPESJanuary 15, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Advocates For A Healthy Community Inc — 56 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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