Active NPI
Amy E Tindell, LCSW
- Social Worker
- Gaithersburg, MD
National Provider Identifier
1003081738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 24997
- Practice address
- 9037 Shady Grove CT
Gaithersburg, MD 20877-1301 - Phone
- (817) 706-0016
- NPI assigned
- Apr 23, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 24997 | MD | Primary |
Addresses
Primary practice location
9037 Shady Grove CT
Gaithersburg, MD 20877-1301
Mailing address
806 Grandin Ave
Rockville, MD 20850-4115
Phone (817) 706-0016
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24997 | MD | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563408000000",
"number": "1003081738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "806 GRANDIN AVE",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208504115",
"telephone_number": "817-706-0016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9037 SHADY GROVE CT",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208771301",
"telephone_number": "817-706-0016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TINDELL",
"first_name": "AMY",
"middle_name": "E",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-23",
"last_updated": "2019-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "24997",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gaithersburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.