Individual provider Active NPI

Janice Marie Amato, L.C.S.W.-R

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1023453230
Registry record updated Jul 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R069575-1 Issued in NY
Practice address
303 5TH Ave
New York, NY 10016-6601
Phone
(212) 946-1190
Fax
(516) 437-4745
NPI assigned
May 1, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2013

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 R069575-1 NY Primary

Addresses

Primary practice location

303 5TH Ave
New York, NY 10016-6601

Mailing address

856 Second Ave
Franklin Square, NY 11010-1924
Phone (917) 414-8521

Other names 1

  • Mrs. Janice Marie Amato Walsh Former name

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
R069575-1NYMDClinical Social Worker
063861NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Charities Neighborhood Services, Inc. Past Accepting new patients
Mental Health Providers of Western Queens, Inc. PastSince Nov 1, 2009 Accepting new patients

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": "1367366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372636800000",
    "number": "1023453230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "856 SECOND AVE",
            "city": "FRANKLIN SQUARE",
            "state": "NY",
            "postal_code": "110101924",
            "telephone_number": "917-414-8521",
            "fax_number": "516-437-4745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 5TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166601",
            "telephone_number": "212-946-1190",
            "fax_number": "516-437-4745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMATO",
        "first_name": "JANICE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-01",
        "last_updated": "2013-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R069575-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANICE",
            "last_name": "AMATO WALSH",
            "middle_name": "MARIE",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2013; 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.