Individual provider Active NPI

Amy Sinico

  • Social Worker
  • Gloucester, MA
National Provider Identifier
1013344472
Registry record updated Jan 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
Children'S Friend and Family Services
3 & 4 Blackburn Center
Gloucester, MA 01930
Phone
(978) 283-7198
NPI assigned
Oct 1, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

Children'S Friend and Family Services
3 & 4 Blackburn Center
Gloucester, MA 01930

Mailing address

Children'S Friend and Family Services
3 & 4 Blackburn Center
Gloucester, MA 01930

Other practice location 1

9 Centennial Dr
Peabody, MA 01960-7939
Phone (978) 927-9410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190222000667 MA Practitioner - Clinical Social Worker 6800135641 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Justice Resource Institute, Inc. CurrentSince Jan 12, 2019 Accepting new patients
Justice Resource Institute, Inc Past Accepting new patients

Locations

380 Massachusetts Ave
Acton, MA 01720
Phone (978) 263-3006

160 Gould St
Ste 300
Needham Heights, MA 02494
Phone (781) 559-4900

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1380585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546387200000",
    "number": "1013344472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CHILDREN'S FRIEND AND FAMILY SERVICES",
            "address_2": "3 & 4 BLACKBURN CENTER",
            "city": "GLOUCESTER",
            "state": "MA",
            "postal_code": "01930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CHILDREN'S FRIEND AND FAMILY SERVICES",
            "address_2": "3 & 4 BLACKBURN CENTER",
            "city": "GLOUCESTER",
            "state": "MA",
            "postal_code": "01930",
            "telephone_number": "978-283-7198"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9 Centennial Dr",
            "address_purpose": "LOCATION",
            "city": "Peabody",
            "state": "MA",
            "postal_code": "019607939",
            "country_code": "US",
            "telephone_number": "978-927-9410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SINICO",
        "first_name": "AMY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-01",
        "last_updated": "2019-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gloucester, MA

Sources for this page

Verify at the official NPI Registry.