Individual provider Active NPI

Ami Lynn Riegel, LCSW

  • Clinical Social Worker
  • Pottsville, PA
National Provider Identifier
1104863513
Registry record updated May 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW013192L Issued in PA
Practice address
396 S. Centre Street
3Rd Floor
Pottsville, PA 17901
Phone
(570) 640-3744
NPI assigned
Jun 2, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW013192L PA Primary

Addresses

Primary practice location

396 S. Centre Street
3Rd Floor
Pottsville, PA 17901

Mailing address

15 Hillside Drive
Schuylkill Haven, PA 17972
Phone (570) 640-3744

Other identifiers 1

IdentifierTypeStateIssuer
10129699500MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050314000035 PA Practitioner - Clinical Social Worker 3274588298 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Clinical Social Worker Associates IncGroup PAC ID 8325336399, 6 clinicians

Practice addresses (Care Compare)

396 S Centre St
Suite 3
Pottsville, PA 17901-3597
Phone (570) 640-3744

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW013192LPAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Social Worker Associates, Inc. Clinical CurrentSince Jun 7, 2016 Accepting new patients
Lehigh Valley Hospital - Schuylkill Past Accepting new patients

Locations

396 S Centre St
Ste 3
Pottsville, PA 17901
Phone (570) 573-0247

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464134400000",
    "number": "1104863513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 HILLSIDE DRIVE",
            "city": "SCHUYLKILL HAVEN",
            "state": "PA",
            "postal_code": "17972",
            "telephone_number": "570-640-3744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "396 S. CENTRE STREET",
            "address_2": "3RD FLOOR",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "17901",
            "telephone_number": "570-640-3744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIEGEL",
        "first_name": "AMI",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-02",
        "last_updated": "2016-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW013192L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10129699500",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pottsville, PA

Sources for this page

Verify at the official NPI Registry.