Amy Gottheimer

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

079136 Issued in NY

Practice address

175 E 94TH St Apt 1
New York, NY 10128-2905

Phone

(347) 998-4206

NPI assigned

Jan 25, 2018

Sex

Female

Sole proprietor

Yes

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)

Enrolled

State licenses

Practice roles

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.

• Intentional Wellness Psychotherapy LCSW PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New York, NY
  • NPI 1043088081
  NPD Authorized official

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

{
    "created_epoch": "1516838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624924800000",
    "number": "1043718901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 RIVERSIDE DR APT 3F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100317154",
            "telephone_number": "347-998-4206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 E 94TH ST APT 1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101282905",
            "telephone_number": "347-998-4206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTTHEIMER",
        "first_name": "AMY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-25",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "079136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reena Gottesman, M.D.
• Silvija Pejkovska Gottesman, MD
• Sophie Gottesman
• Hannah Jill Gottfried, OTD, OTR/L
• Michelle Linn Gotthardt Weinkauf, PT
• Terry Gotthelf, DDS
• Jacqueline Jocheveth Gotthold, PSY.D.
• Shouri Venkata Gottiparthi
• Britt Erica Gottlich, PSY.D.
• Carrie D. Gottlieb, PH.D.

• Clinical Social Worker in New York, NY
• Providers in New York, 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 Jun 29, 2021; 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.