Theresa J Amendola, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

076152 Issued in NY

Practice address

175 Fulton Ave
3Rd Floor
Hempstead, NY 11550-3718

Phone

(516) 485-5710

NPI assigned

Apr 6, 2011

Last updated

Apr 6, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: theresa.amendola.1@30520.direct.athenahealth.com

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

• Federation Employment and Guidance Service, Inc.

  dba FEGS Health and Human Services System

  • Clinic/Center
  • Hempstead, NY
  • NPI 1164461133
  NPD (past)

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

{
    "created_epoch": "1302048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302048000000",
    "number": "1033408380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 FULTON AVE",
            "address_2": "3RD FLOOR",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115503718",
            "telephone_number": "516-485-5710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 FULTON AVE",
            "address_2": "3RD FLOOR",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115503718",
            "telephone_number": "516-485-5710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMENDOLA",
        "first_name": "THERESA",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-06",
        "last_updated": "2011-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "076152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• All Star Dental Care PC
• Ketercha Altidor
• Altima Care Inc.
• Josephine Alvarez
• Lamya Alzabidi
• Hanna Aminova
• Cheryl Denise Ancrum, DDS
• Godfrey Ogbonna Aneke, DNP, PMHNP-BC FNP-C
• Anil S Patel Internal Medicine, P.C. (Anil S. Patel, Internal Medicine)
• Erika Anthony, LMSW

• Clinical Social Worker in Hempstead, NY
• Providers in Hempstead, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2011; 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.