Individual provider Active NPI

Gomathi Sheila Thiruvannamalai, LMSW

  • Social Worker
  • Amherst, NY
National Provider Identifier
1063256931
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
124037 Issued in NY
Practice address
1412 Sweet Home Rd
Amherst, NY 14228-2795
Phone
(716) 589-1411
Fax
(716) 276-3051
NPI assigned
Jun 24, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 124037 NY Primary

Addresses

Primary practice location

1412 Sweet Home Rd
Amherst, NY 14228-2795

Mailing address

1412 Sweet Home Rd
Amherst, NY 14228-2795
Phone (716) 589-1411

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
124037NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1719187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1063256931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1412 SWEET HOME RD",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142282795",
            "telephone_number": "716-589-1411",
            "fax_number": "716-276-3051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 SWEET HOME RD",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142282795",
            "telephone_number": "716-589-1411",
            "fax_number": "716-276-3051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIRUVANNAMALAI",
        "first_name": "GOMATHI",
        "middle_name": "SHEILA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-24",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "124037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; 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.