Amy Teich, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R027231-1 Issued in NY

Practice address

1814 College Point Blvd
2ND Floor
College Point, NY 11356-2241

Phone

(347) 804-8277

Fax

(718) 321-0917

NPI assigned

Oct 19, 2009

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

State licenses

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

{
    "created_epoch": "1255910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255910400000",
    "number": "1043546567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1814 COLLEGE POINT BLVD",
            "address_2": "2ND FLOOR",
            "city": "COLLEGE POINT",
            "state": "NY",
            "postal_code": "113562241",
            "telephone_number": "347-804-8277",
            "fax_number": "718-321-0917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1814 COLLEGE POINT BLVD",
            "address_2": "2ND FLOOR",
            "city": "COLLEGE POINT",
            "state": "NY",
            "postal_code": "113562241",
            "telephone_number": "347-804-8277",
            "fax_number": "718-321-0917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEICH",
        "first_name": "AMY",
        "credential": "LCSW-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-19",
        "last_updated": "2009-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R027231-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in College Point, NY
• Providers in College Point, 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 Oct 19, 2009; 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.