Individual provider Active NPI

Amy B. Acker, LCSW

  • Clinical Social Worker
  • Bridgewater, NJ
National Provider Identifier
1003146150
Registry record updated Jul 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05407600 Issued in NJ
Practice address
672 US Highway 202/206
Building 3, Suite 106
Bridgewater, NJ 08807-1747
Phone
(973) 769-2401
NPI assigned
Jan 12, 2010
Last updated
Jul 13, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC05407600 NJ Primary

Addresses

Primary practice location

672 US Highway 202/206
Building 3, Suite 106
Bridgewater, NJ 08807-1747

Mailing address

672 US Highway 202/206
Building 3, Suite 106
Bridgewater, NJ 08807-1747
Phone (973) 769-2401

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

LicenseStateTypeSpecialty
44SC05407600NJMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1263254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468368000000",
    "number": "1003146150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "672 US HIGHWAY 202/206",
            "address_2": "BUILDING 3, SUITE 106",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088071747",
            "telephone_number": "973-769-2401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "672 US HIGHWAY 202/206",
            "address_2": "BUILDING 3, SUITE 106",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088071747",
            "telephone_number": "973-769-2401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACKER",
        "first_name": "AMY",
        "middle_name": "B.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-12",
        "last_updated": "2016-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05407600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgewater, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.