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

Mrs. Amanda Lois Self, LCSW

Individual provider Clinical Social Worker · NPI 1982957742

Mrs. Amanda Lois Self, LCSW is a Clinical Social Worker in North Little Rock, Arkansas. Qualified in 2006, 20 years ago. Practices with Brightside Medical of Michigan PC, a 93-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arkansas, Iowa and Oklahoma.

Years since qualifying
20
Licensed in
AR, IA, OK
In the registry since
2012
Specialties on file
3
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

4354 Stockton Dr
North Little Rock, AR 72117-2917
Phone: (501) 221-1843
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 2615-C (AR)
Clinical Social Worker Taxonomy 1041C0700X · Licence 115983 (IA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 20447 (OK)

Record details

NPI number1982957742
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedOctober 17, 2012
Last updated in NPPESMarch 19, 2026
Certification dateMarch 19, 2026

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 Brightside Medical Of Michigan Pc — 93 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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