Active NPI
Amy Feder, LCSW
- Clinical Social Worker
- Norwalk, CT
National Provider Identifier
1013381961
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 009230
- Practice address
- 111 East Ave
Suite 313
Norwalk, CT 06851-5014 - Phone
- (917) 826-6660
- NPI assigned
- Nov 16, 2015
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 009230 | CT | Primary |
Addresses
Primary practice location
111 East Ave
Suite 313
Norwalk, CT 06851-5014
Mailing address
11 Valley Rd
Westport, CT 06880-5126
Other names 1
- Amy Feder
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
11 Valley Rd
Westport, CT 06880-5126
146 Hayden Hill Rd
Torrington, CT 06790-2308
P O Box
Suite 1402
Burlington, CT 06013-0402
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009230 | CT | MD | Clinical Social Worker |
| 9230 | CT | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459728000000",
"number": "1013381961",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 VALLEY RD",
"city": "WESTPORT",
"state": "CT",
"postal_code": "068805126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 EAST AVE",
"address_2": "SUITE 313",
"city": "NORWALK",
"state": "CT",
"postal_code": "068515014",
"telephone_number": "917-826-6660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FEDER",
"first_name": "AMY",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-11-16",
"last_updated": "2016-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "009230",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMY",
"last_name": "FEDER",
"credential": "LCSW",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Norwalk, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.