Active NPI
Amy Lynn Hodge
- Social Worker
- Mastic, NY
National Provider Identifier
1083380406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 1360 Montauk Hwy
Mastic, NY 11950-2929 - Phone
- (631) 461-6330
- NPI assigned
- Aug 17, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
1360 Montauk Hwy
Mastic, NY 11950-2929
Mailing address
334 Avondale Dr
Shirley, NY 11967-1402
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | amylynnhodge0@gmail.com |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629158400000",
"number": "1083380406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "334 AVONDALE DR",
"city": "SHIRLEY",
"state": "NY",
"postal_code": "119671402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1360 MONTAUK HWY",
"city": "MASTIC",
"state": "NY",
"postal_code": "119502929",
"telephone_number": "631-461-6330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HODGE",
"first_name": "AMY",
"middle_name": "LYNN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-17",
"last_updated": "2021-08-17",
"certification_date": "2021-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "amylynnhodge0@gmail.com",
"affiliation": "N",
"address_1": "1360 Montauk Hwy",
"city": "Mastic",
"state": "NY",
"country_code": "US",
"postal_code": "119502929",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Mastic, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.